Organization Active NPI

Wesley Community Services

Doing business as Wesley At Home

  • Home Health Agency
  • Des Moines, IA
National Provider Identifier
1346338803
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WESLEY COMMUNITY SERVICES
Doing business as
Wesley At Home
Practice address
944 18TH St
Des Moines, IA 50314-1152
Phone
(515) 288-3334
Fax
(515) 288-4740
NPI assigned
Oct 10, 2006
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Krysta Stevens
Title
Controller
Phone
(515) 288-3334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IA Primary

Addresses

Primary practice location

944 18TH St
Des Moines, IA 50314-1152

Mailing address

P.O. Box 7192
Des Moines, IA 50309-7192
Phone (515) 288-3334

Other identifiers 3

IdentifierTypeStateIssuer
0672956MedicaidIA
167295OtherIAHUMANA GOLD
67295OtherIAWELLMARK BC/BS

Other names 1

  • Wesley At Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wesley Community Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1346338803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 7192",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503097192",
            "telephone_number": "515-288-3334",
            "fax_number": "515-288-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 18TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141152",
            "telephone_number": "515-288-3334",
            "fax_number": "515-288-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "KRYSTA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "515-288-3334"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0672956",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLD",
            "identifier": "167295",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "67295",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesley At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.