Organization Active NPI

Wilmon Corporation

  • Skilled Nursing Facility
  • Riverside, CA
National Provider Identifier
1245343334
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
250000213 Issued in CA
Legal business name
WILMON CORPORATION
Practice address
8951 Granite Hill Dr
Riverside, CA 92509-1104
Phone
(951) 685-7474
Fax
(951) 685-3047
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Preimesberger, ESQ.
Title
Cfo
Phone
(951) 685-7474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 250000213 CA Primary

Addresses

Primary practice location

8951 Granite Hill Dr
Riverside, CA 92509-1104

Mailing address

8951 Granite Hill Dr
Riverside, CA 92509-1104
Phone (951) 685-7474

Other identifiers 1

IdentifierTypeStateIssuer
LTC90047FMedicaidCA

Other names 1

  • Miller's Progressive Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1245343334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 GRANITE HILL DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925091104",
            "telephone_number": "951-685-7474",
            "fax_number": "951-685-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 GRANITE HILL DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925091104",
            "telephone_number": "951-685-7474",
            "fax_number": "951-685-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMON CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "PREIMESBERGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "951-685-7474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "250000213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC90047F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller's Progressive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.