Active NPI
Wisr Ministries Inc.
- Community/Behavioral Health Agency
- Moreno Valley, CA
National Provider Identifier
1316108715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.