Organization Active NPI

Wesley Ridge,Inc

  • Assisted Living Facility
  • Reynoldsburg, OH
National Provider Identifier
1073565826
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
PENDING Issued in OH
Legal business name
WESLEY RIDGE,INC
Practice address
2225 Sr 256
Reynoldsburg, OH 43068-9501
Phone
(614) 396-4813
Fax
(614) 436-3740
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Daniel J Lavender, CPA
Title
Cfo
Phone
(614) 396-4813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X PENDING OH Primary

Addresses

Primary practice location

2225 Sr 256
Reynoldsburg, OH 43068-9501

Mailing address

2225 Sr 256
Reynoldsburg, OH 43068-9501
Phone (614) 396-4813

Other names 1

  • Wesley Ridge Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073565826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 SR 256",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430689501",
            "telephone_number": "614-396-4813",
            "fax_number": "614-436-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 SR 256",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430689501",
            "telephone_number": "614-396-4813",
            "fax_number": "614-436-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY RIDGE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAVENDER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-396-4813",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesley Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.