Wesleyan Village LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WESLEYAN VILLAGE LLC

Practice address

807 West Ave
Elyria, OH 44035-5898

Phone

(440) 284-9000

Fax

(440) 284-9636

NPI assigned

Jul 1, 2005

Organization subpart

No

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

Authorized official

Name

Elan Ruggill

Title

President

Phone

(734) 222-5275

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elyria United Methodist Village Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Skilled nursing facility certification: CCN 365162

Legal name

WESLEYAN VILLAGE LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 1967

Last certification

Feb 27, 2025

Beds

99

Ownership / control type

Other Nonprofit

Organization structure

CorporationProprietary

Incorporated

Dec 19, 1900 in OH

Enrollment address

807 West Ave
Elyria, OH 44035-5898

Nursing home name

WESLEYAN VILLAGE

Listed as

Wesleyan VillageCCN 365162

Overall star rating

2 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Other

Certified

May 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9977.2 residents per day on average

Penalties (3 years)

4Fines totaling $219,798

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wesleyan Village

  • Assisted Living Facility
  • Elyria, OH
  • NPI 1194283663
  NPD tax ID

All disclosed owners & managing parties 9

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

Owners & managing parties with NPI records 1

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

• Kashif Z Khan, MD

  • Internal Medicine Physician
  • Amherst, OH
  • NPI 1891768438

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammed A Jayber, DO

  • Adult Medicine Physician
  • Avon, OH
  • NPI 1215914759
  NPD (past)
• Kashif Z Khan, MD

  • Internal Medicine Physician
  • Amherst, OH
  • NPI 1891768438
  NPD (past)

Affiliated clinicians 2

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

• Mohammed A Jayber, DO

  • Adult Medicine Physician
  • Avon, OH
  • NPI 1215914759

  Nursing home

  Care Compare affiliation
• Kashif Z Khan, MD

  • Internal Medicine Physician
  • Amherst, OH
  • NPI 1891768438

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1528065737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 WEST AVE",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355898",
            "telephone_number": "440-284-9000",
            "fax_number": "440-322-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 WEST AVE",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440355898",
            "telephone_number": "440-284-9000",
            "fax_number": "440-284-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEYAN VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "RUGGILL",
        "authorized_official_first_name": "ELAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-222-5275"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2527751",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Elyria United Methodist Village",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Elyria United Methodist Village",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Corrie Danielle Weitzel, O.D., M.S.
• Matthew Welich, LPCC
• Lawrence James Welsh, D.D.S.
• Cassandra Lea Welter
• Wesleyan Village
• James West, L.S.W.
• Monique West
• Westshore Primary Care Assoc Inc
• WGT Group LLC
• Amy Nicole White

• Skilled Nursing Facility in Elyria, OH
• Providers in Elyria, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.

Verify at the official NPI Registry.