Organization Active NPI

Wesley Home Estate Assisted Living Facility

  • Assisted Living Facility
  • Port Saint Lucie, FL
National Provider Identifier
1003784034
Registry record updated Nov 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WESLEY HOME ESTATE ASSISTED LIVING FACILITY
Practice address
139 SW East Danville Cir
Port Saint Lucie, FL 34953-5942
Phone
(305) 610-0941
Fax
(772) 281-4590
NPI assigned
Oct 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2025

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

Authorized official

Name
Mrs. Tracy Wesley, RNNPI 1316838105
Title
Administrator
Phone
(305) 610-0941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

139 SW East Danville Cir
Port Saint Lucie, FL 34953-5942

Mailing address

139 SW East Danville Cir
Port Saint Lucie, FL 34953-5942
Phone (305) 610-0941

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762041600000",
    "number": "1003784034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 SW EAST DANVILLE CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349535942",
            "telephone_number": "305-610-0941",
            "fax_number": "772-281-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 SW EAST DANVILLE CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349535942",
            "telephone_number": "305-610-0941",
            "fax_number": "772-281-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY HOME ESTATE ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A",
        "authorized_official_last_name": "WESLEY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-610-0941",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2025; 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.