Organization Active NPI

Wesley Ridge Residence Corporation

  • Skilled Nursing Facility
  • Reynoldsburg, OH
National Provider Identifier
1346597754
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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 SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 CenterCCN 366411
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Aug 21, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2521.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2213428Wesley Ridge2225 Taylor Park Drive, Reynoldsburg, OH 43068Certificate of waiverFeb 11, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Cean Wilson Individual Corporate DirectorBoard Member Nov 29, 2023
Lance Debenedictis Individual Corporate DirectorBoard Member May 1, 2022
John Dipietra Individual Contracted Managing EmployeeMD; Jan 1, 2024
Sandra East Individual Corporate DirectorBoard Member Nov 29, 2023
Celia Conlon Individual Corporate DirectorBoard Member May 1, 2022
Robyn Hildal Individual Corporate DirectorBoard Member Nov 29, 2023
Philip Present Individual Corporate DirectorBoard Member May 1, 2022
James Bowersox Individual Operational/Managerial ControlCfo May 1, 2022
Mark Palmer Individual Corporate DirectorBoard Member Jan 1, 1996
Larry Brueshaber Individual Corporate DirectorBoard Member May 1, 2022
Mary Short Individual Corporate DirectorBoard Member May 1, 2010
Thomas Kahle Individual Corporate DirectorBoard Member May 1, 2022
Kenneth McDonald Individual W-2 Managing EmployeeDirector of Finance Nov 16, 2022
Thomas Widney Individual W-2 Managing EmployeeAd; Jan 1, 2024
Scott M McQuinn Individual Corporate OfficerPresident May 1, 2022
Todd Anderson Individual Corporate DirectorBoard Member 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.

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.