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Wiggins Home 1
Nursing Facility/Intermediate Care Facility in Porterville, California
NPI 1649320060

Wiggins Home 1 is a Nursing Facility/Intermediate Care Facility based in Porterville, CA. Wiggins Home 1 practices in Porterville, CA. The NPI Number for Wiggins Home 1 is 1649320060 and holds a License No. 040000394 (California).

The current practice location address for Wiggins Home 1 is 1562 Clare Ave, Porterville, CA and can be reached out via phone at 559-781-3669.

Location: 1562 Clare Ave, Porterville, CA, 93257-6609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649320060
Provider Name
Wiggins Home 1
Credential
Provider Entity Type
Organization
Address
1562 Clare Ave, Porterville, CA, 93257-6609
Phone Number
559-781-3669
Fax Number
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC80128F 05 CA
040000394 01 CA LICENSE
institution
Provider Business Practice Location Address Details
Address
1562 Clare Ave
City
Porterville
State
California
Zip
93257-4320
Phone Number
559-781-3669
Fax Number
person
Provider Business Mailing Address Details
Address
1562 Clare Ave
City
Porterville
State
California
Zip
93257-4320
Phone Number
559-781-3669
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
040000394 (California)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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