WILDWOOD COURT LLC
NPI 1821820762
Assisted Living Facility in Victorville, CA

Active since August 19, 2024
11898 LUNA RD, VICTORVILLE, CA 92392(951) 764-4633 Get Directions Write a Review

NPPES record last updated: August 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wildwood Court Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILDWOOD COURT LLC (NPI 1821820762) is a healthcare organization registered as an assisted living facility in Victorville, California and active in the NPI registry since August 2024. The organization lists Jahmaal Willis, Owner, as its authorized official.

NPPES Registry Identity

NPI1821820762
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWILDWOOD COURT LLC
Location Address11898 LUNA RDVictorville, CA 92392-1237
Mailing Address19166 La Quinta PlApple Valley, CA 92308-2700 · (951) 764-4633
Organization SubpartNo
Authorized OfficialJahmaal WillisOwner · (951) 764-4633
Enumeration DateAugust 19, 2024
Last NPPES UpdateAugust 24, 2024
NPPES CertifiedAugust 24, 2024
NPI 1821820762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
11898 LUNA RD, Victorville, CA 92392

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wildwood Court LLC's NPI number?

The NPI number for Wildwood Court LLC is 1821820762. It was assigned to this organization in the NPPES registry on August 19, 2024.

Where is Wildwood Court LLC located?

Wildwood Court LLC is located at 11898 Luna Rd, Victorville, CA 92392. The listed phone number is (951) 764-4633.

What is Wildwood Court LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Wildwood Court LLC was last updated on August 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.