NPIMap

Organization Active NPI

Wiggins Home 1

  • Nursing Facility/Intermediate Care Facility
  • Porterville, CA
National Provider Identifier
1649320060
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
040000394 Issued in CA
Legal business name
WIGGINS HOME 1
Practice address
1562 Clare Ave
Porterville, CA 93257-4320
Phone
(559) 781-3669
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Evelyn Wiggins
Title
Administrator
Phone
(559) 781-3669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 040000394 CA Primary

Addresses

Primary practice location

1562 Clare Ave
Porterville, CA 93257-4320

Mailing address

1680 Theta CT
Porterville, CA 93257-6609
Phone (559) 781-3669

Other identifiers 2

IdentifierTypeStateIssuer
LTC80128FMedicaidCA
040000394OtherCALICENSE

National Provider Directory

National Provider Directory
Tax ID family
Wiggins Home 25 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1649320060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 THETA CT",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932576609",
            "telephone_number": "559-781-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 CLARE AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932574320",
            "telephone_number": "559-781-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIGGINS HOME 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-781-3669"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "040000394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80128F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "040000394",
            "state": "CA"
        }
    ],
    "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 Jul 23, 2008; 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.