NPIMap

Organization Active NPI

Wesley Partners Senior Living LLC

Doing business as Wesley House

  • Assisted Living Facility
  • Gainesville, TX
National Provider Identifier
1144886318
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WESLEY PARTNERS SENIOR LIVING LLC
Doing business as
Wesley House
Practice address
3291 E Broadway
Gainesville, TX 76240
Phone
(940) 301-4436
Fax
(940) 301-5039
NPI assigned
May 14, 2019
Last updated
May 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Mary Keys, DO
Title
Accountant
Phone
(903) 537-4522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3291 E Broadway
Gainesville, TX 76240

Mailing address

110 Dallas St W
Mt Vernon, TX 75457-2336
Phone (903) 537-4522

Other identifiers 1

IdentifierTypeStateIssuer
307245OtherTXASSISTED LIVING FACILITY TYPE B LICENSE FROM TEXAS HEALTH AND HUMAN SERVICES

Other names 1

  • Wesley House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wesley House4 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.

Locations

110 Dallas St W
Mt Vernon, TX 75457
Phone (903) 537-2263

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1144886318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DALLAS ST W",
            "city": "MT VERNON",
            "state": "TX",
            "postal_code": "754572336",
            "telephone_number": "903-537-4522",
            "fax_number": "903-270-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 E BROADWAY",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "76240",
            "telephone_number": "940-301-4436",
            "fax_number": "940-301-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY PARTNERS SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "903-537-4522",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING FACILITY TYPE B LICENSE FROM TEXAS HEALTH AND HUMAN SERVICES",
            "identifier": "307245",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesley House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.