Wesley Health Care Center, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4501301N Issued in NY

Legal business name

WESLEY HEALTH CARE CENTER, INC.

Practice address

131 Lawrence St
Saratoga Springs, NY 12866-1346

Phone

(518) 691-1416

Fax

(518) 587-2930

NPI assigned

Sep 7, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Shelly Amato

Title

Cfo

Phone

(518) 691-1416

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335394002

Legal name

WESLEY HEALTH CARE CENTER, INC.

Organization structure

CorporationNon-profit

Incorporated

Nov 24, 1982 in NY

Enrollment address

Outpatient Dept, 131 Lawrence Street
Saratoga Springs, NY 12866-1346

Nursing home name

WESLEY HEALTH CARE CENTER INC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Wesley Health Care Center Inc

  • Long Term Care Pharmacy
  • Saratoga SPGS, NY
  • NPI 1265449235

  9739355777

  Same PAC ID
• Wesley Health Care Center, Inc.

  • Skilled Nursing Facility
  • Saratoga Springs, NY
  • NPI 1710977459

  9739355777

  Same PAC ID

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Ali Y Mirza, MD

  • Internal Medicine Physician
  • Schenectady, NY
  • NPI 1477535458

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Nott Street Medical, PLLC

  • Internal Medicine Physician
  • Schenectady, NY
  • NPI 1154330892

  Adp of the SNF

  CMS ownership
• Wesley Health Care Center Inc

  • Long Term Care Pharmacy
  • Saratoga SPGS, NY
  • NPI 1265449235

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Wesley Health Care Center, Inc.

  • Skilled Nursing Facility
  • Saratoga Springs, NY
  • NPI 1710977459

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Wesley Health Care Center, Inc.

  • Skilled Nursing Facility
  • Saratoga Springs, NY
  • NPI 1710977459

  United Methodist Health and Housing Inc.

  CMS ownership

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1013901982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 LAWRENCE ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661346",
            "telephone_number": "518-691-1416",
            "fax_number": "518-587-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 LAWRENCE ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661346",
            "telephone_number": "518-691-1416",
            "fax_number": "518-587-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "AMATO",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "518-691-1416",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "4501301N",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "4501301N",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "4501301N",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00314250",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellness Rewired LLC
• Julie Heath Wells, LCSW
• Karen T. Weltman, PH.D.
• Nancy Werner, PA-C
• Deborah E. Wertheim, LCSW
• Wesley Health Care Center, Inc.
• Wesley Senior Solutions
• Tara Sue Westervelt
• Raina Sue Westfall
• Seth W Wharton, MD

• All providers in Saratoga Springs, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.