NPIMap

Organization Active NPI

Wesley Manor Nursing Home

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1053587337
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
100230 Issued in KY
Legal business name
WESLEY MANOR NURSING HOME
Practice address
5012 E Manslick Rd
Louisville, KY 40219-5165
Phone
(502) 969-3277
Fax
(502) 969-3259
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Mr. Mark Stephens
Title
V.P. Admin. / Cfo
Phone
(502) 969-3277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X 100230 KY Primary

Addresses

Primary practice location

5012 E Manslick Rd
Louisville, KY 40219-5165

Mailing address

5012 E Manslick Rd
Louisville, KY 40219-5165
Phone (502) 969-3277

Other identifiers 1

IdentifierTypeStateIssuer
000000054578OtherKYANTHEM BC/BS

National Provider Directory

National Provider Directory
Tax ID family
Wesley Manor Nursing Home4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1053587337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 E MANSLICK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402195165",
            "telephone_number": "502-969-3277",
            "fax_number": "502-969-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 E MANSLICK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402195165",
            "telephone_number": "502-969-3277",
            "fax_number": "502-969-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY MANOR NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "V.P. ADMIN.  /  CFO",
        "authorized_official_telephone_number": "502-969-3277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "100230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000054578",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.