Organization Active NPI

Wesley Woods at New Albany

  • Skilled Nursing Facility
  • New Albany, OH
National Provider Identifier
1215439039
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WESLEY WOODS AT NEW ALBANY
Practice address
4588 Wesley Woods Blvd
New Albany, OH 43054-7674
Phone
(614) 656-4100
NPI assigned
Mar 7, 2018
Last updated
Oct 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Authorized official

Name
Robert L Wehner
Title
Cfo
Phone
(614) 396-4908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X OH Primary

Addresses

Primary practice location

4588 Wesley Woods Blvd
New Albany, OH 43054-7674

Mailing address

4588 Wesley Woods Blvd
New Albany, OH 43054-7674
Phone (614) 656-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181106001253 OH Part A Provider - Skilled Nursing Facility 3476806662 Practice locations: New Albany, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215439039. Details of each certification follow.

Skilled nursing facility certification: CCN 366470

Legal name
WESLEY WOODS AT NEW ALBANY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 7, 2019
Last certification
Nov 8, 2022
Beds
16
Ownership / control type
Church Related
Multi-facility organization
Life Enriching Communities
Organization structure
LLCNon-profit
Incorporated
Jul 9, 2015 in OH
Enrollment address
4588 Wesley Woods Blvd
New Albany, OH 43054-7674
Nursing home name
WESLEY WOODS AT NEW ALBANY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Wesley Woods at New AlbanyCCN 366470 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Feb 7, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
1612.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Wesley Woods at New Albany2 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.

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Cean Wilson Individual Corporate DirectorBoard Member Nov 29, 2023
Methodist Retirement Center of Central Ohio Organization, Columbus, OH Non-profit 5% Or Greater Direct Ownership Interest Jul 9, 2015 100%
Operational/Managerial Control Jul 1, 2010 100%
Lance Debenedictis Individual Corporate DirectorBoard Member May 1, 2022
John Dipietra Individual Contracted Managing EmployeeMD; Jan 1, 2024
Sandra East Individual Corporate DirectorBoard Member Nov 29, 2023
Celia Conlon Individual Corporate DirectorBoard Member May 1, 2022
Robyn Hildal Individual Corporate DirectorBoard Member Nov 29, 2023
Philip Present Individual Corporate DirectorBoard Member May 1, 2022
James Bowersox Individual Corporate DirectorCfo May 1, 2022
Mark Palmer Individual Corporate DirectorBoard Member May 1, 2022
Larry Brueshaber Individual Corporate DirectorBoard Member May 1, 2022
Mary Short Individual Corporate DirectorBoard Member May 1, 2022
Thomas Kahle Individual Corporate DirectorBoard Member May 1, 2022
Kenneth McDonald Individual W-2 Managing EmployeeDirector of Finance Jan 1, 2024
Paige Trotta Individual W-2 Managing EmployeeAd; Jan 1, 2024
Scott M McQuinn Individual Corporate OfficerPresident May 1, 2022
Todd Anderson Individual Corporate DirectorBoard Member Nov 29, 2023

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1215439039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4588 WESLEY WOODS BLVD",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547674",
            "telephone_number": "614-656-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4588 WESLEY WOODS BLVD",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547674",
            "telephone_number": "614-656-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY WOODS AT NEW ALBANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "WEHNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-396-4908"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

Verify at the official NPI Registry.