Active NPI
Wilmon Corporation
- Skilled Nursing Facility
- Riverside, CA
National Provider Identifier
1245343334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 250000213
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC90047F | Medicaid | CA |
Other names 1
- Miller's Progressive Care
National Provider Directory
National Provider DirectoryNPI 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.