Wesley Village, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

WESLEY VILLAGE, INC

Practice address

1200 East Grant Street
Macomb, IL 61455

Phone

(309) 833-2613

Fax

(309) 837-7500

NPI assigned

Sep 4, 2019

Organization subpart

No

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

Authorized official

Name

Ashley Loven

Title

Director of Wesley Home Health

Phone

(309) 833-2613

Specialties & licenses 1

Addresses

Tax ID family

Wesley Village2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Wesley Village

  • Skilled Nursing Facility
  • Macomb, IL
  • NPI 1558471714
  NPD tax ID

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1043869944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EAST GRANT STREET",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "61455",
            "telephone_number": "309-833-2613",
            "fax_number": "309-837-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EAST GRANT STREET",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "61455",
            "telephone_number": "309-833-2613",
            "fax_number": "309-837-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY VILLAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "LOVEN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DIRECTOR OF WESLEY HOME HEALTH",
        "authorized_official_telephone_number": "309-833-2613"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig E Waterstreet, MS ED, NCC, LCPC
• Richard C Watson, M.D.
• Alvin H Weintraub, M.D.
• Corey T Welchlin, D.O.
• Wesley Village
• Wesley Village, Inc (Wesley Home Health)
• West Central Illinois Spec Ed
• Western Illinois Medical Group, LLC
• Western Illinois Service Coordination
• Western Illinois Surgical Associates, S.C.

• Speech-Language Pathologist in Macomb, IL
• Providers in Macomb, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.