Active NPI
Wesley Ridge Residence Corporation
- Skilled Nursing Facility
- Reynoldsburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WESLEY RIDGE RESIDENCE CORPORATION
- Practice address
- 2225 Taylor Park Dr
Reynoldsburg, OH 43068-8039 - Phone
- (614) 759-0023
- NPI assigned
- Aug 6, 2012
- Organization subpart
- Yes
- Parent organization
- METHODIST ELDERCARE SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Wehner
- Title
- Chief Financial Officer
- Phone
- (614) 888-7492
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2225 Taylor Park Dr
Reynoldsburg, OH 43068-8039
Mailing address
5155 N High St
Columbus, OH 43214-1525
Phone (614) 888-7492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121214000207 | OH | Part A Provider - Skilled Nursing Facility | 0941452189 | Practice locations: Reynoldsburg, OH |
Skilled nursing facility certification: CCN 366411
- Legal name
- WESLEY RIDGE RESIDENCE CORPORATION
- Doing business as
- ROBERT A BARNES CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 21, 2013
- Last certification
- Jun 1, 2023
- Beds
- 25
- Ownership / control type
- Church Related
- Organization structure
- Corporation
- Incorporated
- Feb 26, 1998 in OH
- Enrollment address
- 2225 Taylor Park Drive
Reynoldsburg, OH 43068-8039 - Nursing home name
- ROBERT A BARNES CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Robert a Barnes Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Church related
- Certified
- Aug 21, 2013
- Medicare certification status
- Active
- Certified beds
- 25
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2213428 | Wesley Ridge | Certificate of waiver | Feb 11, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 16
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 |
|---|---|---|---|
| Cean Wilson | Corporate Director | Nov 29, 2023 | |
| Lance Debenedictis | Corporate Director | May 1, 2022 | |
| John Dipietra | Contracted Managing Employee | Jan 1, 2024 | |
| Sandra East | Corporate Director | Nov 29, 2023 | |
| Celia Conlon | Corporate Director | May 1, 2022 | |
| Robyn Hildal | Corporate Director | Nov 29, 2023 | |
| Philip Present | Corporate Director | May 1, 2022 | |
| James Bowersox | Operational/Managerial Control | May 1, 2022 | |
| Mark Palmer | Corporate Director | Jan 1, 1996 | |
| Larry Brueshaber | Corporate Director | May 1, 2022 | |
| Mary Short | Corporate Director | May 1, 2010 | |
| Thomas Kahle | Corporate Director | May 1, 2022 | |
| Kenneth McDonald | W-2 Managing Employee | Nov 16, 2022 | |
| Thomas Widney | W-2 Managing Employee | Jan 1, 2024 | |
| Scott M McQuinn | Corporate Officer | May 1, 2022 | |
| Todd Anderson | Corporate Director | Nov 29, 2023 |
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 1295770469
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Reynoldsburg, OH
- NPI 1154329647
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344211200000",
"number": "1346597754",
"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": "614-888-7492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 TAYLOR PARK DR",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430688039",
"telephone_number": "614-759-0023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESLEY RIDGE RESIDENCE CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "METHODIST ELDERCARE SERVICES",
"enumeration_date": "2012-08-06",
"last_updated": "2012-08-06",
"status": "A",
"authorized_official_last_name": "WEHNER",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "614-888-7492",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.