Organization Active NPI

Wesley Home Health Services Inc

  • Home Health Agency
  • Stafford, TX
National Provider Identifier
1376763821
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010219 Issued in TX
Legal business name
WESLEY HOME HEALTH SERVICES INC
Practice address
10701 Corporate Dr
Suite 332
Stafford, TX 77477
Phone
(713) 772-9900
Fax
(713) 772-9695
NPI assigned
Apr 26, 2007
Last updated
Dec 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Kingsley C Nwasuruba
Title
Alt.Administrator
Phone
(713) 772-9900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Agency 251E00000X 010219 TX Primary

Addresses

Primary practice location

10701 Corporate Dr
Suite 332
Stafford, TX 77477

Mailing address

10701 Corporate Dr
Suite 332
Stafford, TX 77477
Phone (713) 772-9900

Other identifiers 2

IdentifierTypeStateIssuer
010219OtherTXSTATE LIC. NUMBER
010219OtherTXTEXAS HEALTH AND HUMAN COMMISION LICENCE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051130000225 TX Part A Provider - Home Health Agency 1052331410 Practice locations: Stafford, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376763821. Details of each certification follow.

Home health agency certification: CCN 679528

Legal name
WESLEY HOME HEALTH SERVICES INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 11, 2006
Last certification
Dec 2, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 20, 2005 in TX
Enrollment address
10701 Corporate Dr
Ste 332
Stafford, TX 77477-4017

Care Compare: Home health agency

Medicare Care Compare
Listed as
Wesley Home Health Services IncCCN 679528 · All quality measures
Ownership
Proprietary
Certified
Aug 11, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
45D1047488Wesley Home Health Services Inc10701 Corporate Drive Suite 332, Stafford, TX 77477Certificate of waiverNov 6, 2027

National Provider Directory

National Provider Directory

Locations

10333 Harwin Dr
Ste 380
Houston, TX 77036

10333 Harwin Dr
Ste 520
Houston, TX 77036
Phone (713) 772-9900

10701 Corporate Dr
Ste 332
Stafford, TX 77477
Phone (713) 772-9900

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kingsley Nwasuruba Individual 5% Or Greater Direct Ownership InterestOwner Sep 20, 2005 50%
General Partnership InterestAlt.Administrator Dec 31, 2005 50%
Corporate OfficerCfo Dec 31, 2005
Corporate DirectorPresident Nov 30, 2005
W-2 Managing EmployeeAlternate Administrator Sep 20, 2005
Ezinne Chukwuocha Individual Corporate OfficerAlt.Director of Nursing Dec 31, 2013
Ngozi Nwasuruba Individual 5% Or Greater Direct Ownership InterestOwner Sep 20, 2005 50%
General Partnership Interest Dec 31, 2005 50%
Corporate OfficerGoverning Body Member Dec 31, 2005
Corporate DirectorSupervising Nurse Nov 30, 2005
W-2 Managing EmployeeAdministrator Sep 20, 2005

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1376763821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 CORPORATE DR",
            "address_2": "SUITE 332",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "77477",
            "telephone_number": "713-772-9900",
            "fax_number": "713-772-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 CORPORATE DR",
            "address_2": "SUITE 332",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "77477",
            "telephone_number": "713-772-9900",
            "fax_number": "713-772-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "NWASURUBA",
        "authorized_official_first_name": "KINGSLEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ALT.ADMINISTRATOR",
        "authorized_official_telephone_number": "713-772-9900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC. NUMBER",
            "identifier": "010219",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HEALTH AND HUMAN COMMISION LICENCE #",
            "identifier": "010219",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

Verify at the official NPI Registry.