Gifted Homes, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

GIFTED HOMES, INC.

Practice address

13339 Medicine Bow Court
Victorville, CA 92394-0522

Phone

(323) 395-8594

NPI assigned

Sep 3, 2021

Organization subpart

No

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

Authorized official

Name

Kedra Creer

Title

Licensee/Administrator

Phone

(323) 395-8594

Specialties & licenses 1

Addresses

Other names 1

• GIFTED HOMES I Doing business as

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1558039438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13339 MEDICINE BOW COURT",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923940522",
            "telephone_number": "323-395-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13339 MEDICINE BOW COURT",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923940522",
            "telephone_number": "323-395-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "CREER",
        "authorized_official_first_name": "KEDRA",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "323-395-8594"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIFTED HOMES I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alma Y Gepford, RD
• Jacqueline Gepulle
• Casey Nicole Gernon, PA
• Alexa Gibson
• Nina Gibson
• Joanne Gil
• Abiala Tabitha Gill, BS., MS
• Liza Gill, M.D.
• Angela Gilmer, LCSW
• Tamisha P Gilmore

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Victorville, CA
• Providers in Victorville, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.