Active NPI
Wesley Healthcare Inc.
- Skilled Nursing Facility
- Auburn, IN
National Provider Identifier
1295950475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 07-000307-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100285660D | Medicaid | IN |
National Provider Directory
National Provider DirectoryNPI 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.