NPIMap

Organization Active NPI

Wesley House Aif

  • Private Vehicle
  • Wesley Chapel, FL
National Provider Identifier
1245417732
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
AL9256 Issued in FL
Legal business name
WESLEY HOUSE AIF
Practice address
1500 Marimillian Dr
Wesley Chapel, FL 33543
Phone
(813) 770-1605
NPI assigned
Jan 28, 2008
Last updated
Jan 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Mrs. Lola I Jegrede
Title
Administrator
Phone
(813) 469-4496

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X AL9256 FL
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X AL9256 FL
Private Vehicle 347C00000X AL9256 FL Primary

Addresses

Primary practice location

1500 Marimillian Dr
Wesley Chapel, FL 33543

Mailing address

1500 Marimillian Dr
Wesley Chapel, FL 33543

Other identifiers 2

IdentifierTypeStateIssuer
140033900OtherFLPBCALL
687743296OtherFLLESHAB

National Provider Directory

National Provider Directory
Tax ID family
Wesley House Alf 33 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1245417732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MARIMILLIAN DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MARIMILLIAN DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33543",
            "telephone_number": "813-770-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY HOUSE AIF",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "JEGREDE",
        "authorized_official_first_name": "LOLA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-469-4496",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL9256",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "AL9256",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "FL",
            "license": "AL9256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PBCALL",
            "identifier": "140033900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LESHAB",
            "identifier": "687743296",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.