NPIMap

Organization Active NPI

Wiggins Homes

  • Intellectual Disabilities Intermediate Care Facility
  • Porterville, CA
National Provider Identifier
1366703530
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
040000398 Issued in CA
Legal business name
WIGGINS HOMES
Practice address
677 Sierra St
Porterville, CA 93257-5543
Phone
(559) 783-0732
NPI assigned
Jun 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Elysia M Boyd
Title
Sole Proprietor
Phone
(559) 350-0141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 040000398 CA Primary

Addresses

Primary practice location

677 Sierra St
Porterville, CA 93257-5543

Mailing address

2487 Crickelwood CT
Porterville, CA 93257-6944
Phone (559) 350-0141

National Provider Directory

National Provider Directory
Tax ID family
Wiggins Homes3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1366703530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2487 CRICKELWOOD CT",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932576944",
            "telephone_number": "559-350-0141",
            "fax_number": "559-789-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 SIERRA ST",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932575543",
            "telephone_number": "559-783-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIGGINS HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "ELYSIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "559-350-0141"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "040000398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.