Organization Active NPI

Wisr Ministries Inc.

  • Community/Behavioral Health Agency
  • Moreno Valley, CA
National Provider Identifier
1316108715
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WISR MINISTRIES INC.
Doing business as
Save Our Siblings
Practice address
13800 Heacock Street
Suite C242
Moreno Valley, CA 92553-3339
Phone
(951) 653-9084
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Willistine Gaymon, O.M., CART, ADC, D.D
Title
Exec Director / Counselor
Phone
(951) 897-5560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

13800 Heacock Street
Suite C242
Moreno Valley, CA 92553-3339

Mailing address

13800 Heacock St
Suite C242
Moreno Valley, CA 92553-3339
Phone (951) 897-5560

Other names 1

  • Save Our Siblings Doing business as

National Provider Directory

National Provider Directory

Locations

13800 Heacock St
Ste C242
Moreno Valley, CA 92553
Phone (951) 653-9084

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1316108715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 HEACOCK ST",
            "address_2": "SUITE C242",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533339",
            "telephone_number": "951-897-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 HEACOCK STREET",
            "address_2": "SUITE C242",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533339",
            "telephone_number": "951-653-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISR MINISTRIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "GAYMON",
        "authorized_official_first_name": "WILLISTINE",
        "authorized_official_title_or_position": "EXEC DIRECTOR / COUNSELOR",
        "authorized_official_telephone_number": "951-897-5560",
        "authorized_official_credential": "O.M., CART, ADC, D.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Save Our Siblings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.