Active NPI
Wesley Glen, Inc.
Doing business as Wesley Glen Health Services Corp
- Skilled Nursing Facility
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0227
- Legal business name
- WESLEY GLEN, INC.
- Doing business as
- Wesley Glen Health Services Corp
- Practice address
- 5155 N High St
Columbus, OH 43214-1525 - Phone
- (614) 396-4813
- Fax
- (614) 436-3740
- NPI assigned
- May 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Margaret R Carmany, JD
- Title
- President and Ceo
- Phone
- (614) 888-7492
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0227 | OH | Primary |
Addresses
Primary practice location
5155 N High St
Columbus, OH 43214-1525
Mailing address
5155 N High St
Columbus, OH 43214-1525
Phone (614) 396-4813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0204960 | Medicaid | OH |
Other names 1
- Wesley Glen Health Services Corp
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120323000037 | OH | Part A Provider - Skilled Nursing Facility | 8022140185 | Practice locations: Columbus, OH |
Skilled nursing facility certification: CCN 365504
- Legal name
- WESLEY GLEN, INC.
- Doing business as
- WESLEY GLEN HEALTH SERVICES CORP
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 30, 1980
- Last certification
- Apr 24, 2025
- Beds
- 56
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 27, 1967 in OH
- Enrollment address
- 5155 N High Street
Columbus, OH 43214 - Nursing home name
- WESLEY GLEN HEALTH SERVICES CORP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Wesley Glen Health Services Corp
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Apr 30, 1980
- Medicare certification status
- Active
- Certified beds
- 56
National Provider Directory
National Provider Directory- Tax ID family
- Wesley Glen
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Columbus, OH
- NPI 1326648809
Ownership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lance Debenedictis | Corporate Director | Nov 29, 2023 | |
| Sandra East | Corporate Director | Nov 29, 2023 | |
| Celia Conlon | Corporate Director | Nov 29, 2023 | |
| Robyn Hildal | Corporate Director | Nov 29, 2023 | |
| Philip Present | Corporate Director | Nov 29, 2023 | |
| James Bowersox | Corporate Officer | Jan 1, 2024 | |
| Corporate Director | Jan 1, 2024 | ||
| W-2 Managing Employee | Jan 1, 2024 | ||
| Mark Palmer | Corporate Director | Jan 1, 1996 | |
| Larry Brueshaber | Corporate Director | Nov 29, 2023 | |
| McKinzie Shindollar | W-2 Managing Employee | Jan 1, 2024 | |
| Mary Short | Corporate Director | Nov 29, 2023 | |
| Thomas Kahle | Corporate Director | Nov 29, 2023 | |
| Kenneth McDonald | W-2 Managing Employee | Jan 1, 2024 | |
| Scott M McQuinn | Corporate Officer | Jan 1, 2024 | |
| Corporate Director | Jan 1, 2024 | ||
| W-2 Managing Employee | Jan 1, 2024 | ||
| Todd Anderson | Corporate Director | Jan 1, 2024 | |
| Thomas Edward McEldowney | Contracted Managing Employee | Jan 1, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1760573810
Contracted Managing Employee
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Assisted Living Facility
- Columbus, OH
- NPI 1326648809
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1760573810
Affiliated clinicians 1
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": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332460800000",
"number": "1215988423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5155 N HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141525",
"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": "5155 N HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141525",
"telephone_number": "614-396-4813",
"fax_number": "614-436-3740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESLEY GLEN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2012-03-23",
"status": "A",
"authorized_official_last_name": "CARMANY",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "614-888-7492",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OH",
"license": "0227",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0204960",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wesley Glen Health Services Corp",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.