NPIMap

Organization Active NPI

Three Wishes, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Anderson, IN
National Provider Identifier
1770815375
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THREE WISHES, INC.
Practice address
19 E Ames St
Anderson, IN 46012-1705
Phone
(765) 608-6143
Fax
(765) 608-6141
NPI assigned
Feb 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
David Lin
Title
President
Phone
(760) 891-0418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

19 E Ames St
Anderson, IN 46012-1705

Mailing address

21184 Figueroa St
Carson, CA 90745-1938
Phone (760) 891-0418

National Provider Directory

National Provider Directory
Tax ID family
Three Wishes Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

21184 Figueroa St
Carson, CA 90745

19 E Ames St
Anderson, IN 46012
Phone (765) 608-6143

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1770815375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21184 FIGUEROA ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907451938",
            "telephone_number": "760-891-0418",
            "fax_number": "760-891-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E AMES ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460121705",
            "telephone_number": "765-608-6143",
            "fax_number": "765-608-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE WISHES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-891-0418"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.