NPIMap

Organization Active NPI

Wiggins Home #3

  • Intellectual Disabilities Intermediate Care Facility
  • Porterville, CA
National Provider Identifier
1720208788
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
WIGGINS HOME #3
Practice address
677 Sierra St
Porterville, CA 93257-5543
Phone
(559) 783-0732
Fax
(559) 791-0673
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

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

Specialties & licenses 2

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

Addresses

Primary practice location

677 Sierra St
Porterville, CA 93257-5543

Mailing address

1012 Vandalia Ave
Porterville, CA 93257-5550
Phone (559) 781-3669

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720208788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 VANDALIA AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932575550",
            "telephone_number": "559-781-3669",
            "fax_number": "559-791-0673"
        },
        {
            "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",
            "fax_number": "559-791-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIGGINS HOME #3",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-781-3669",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "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 Aug 22, 2020; 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.