Organization Active NPI

Wesley Healthcare Inc.

  • Skilled Nursing Facility
  • Auburn, IN
National Provider Identifier
1295950475
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
07-000307-1 Issued in IN
Legal business name
WESLEY HEALTHCARE INC.
Practice address
1751 Wesley Rd
Auburn, IN 46706-3647
Phone
(260) 925-5494
Fax
(260) 927-2267
NPI assigned
Apr 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Mr. Lee M. Pense
Title
Administrator
Phone
(260) 925-5494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 07-000307-1 IN Primary

Addresses

Primary practice location

1751 Wesley Rd
Auburn, IN 46706-3647

Mailing address

1751 Wesley Rd
Auburn, IN 46706-3647
Phone (260) 925-5494

Other identifiers 1

IdentifierTypeStateIssuer
100285660DMedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1295950475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 WESLEY RD",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467063647",
            "telephone_number": "260-925-5494",
            "fax_number": "260-925-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 WESLEY RD",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467063647",
            "telephone_number": "260-925-5494",
            "fax_number": "260-927-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-14",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "PENSE",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "260-925-5494",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "07-000307-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100285660D",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.