Active NPI
Wesleyan Homes, Inc.
Doing business as The Wesleyan At Estrella Assisted Living
- Assisted Living Facility
- Georgetown, TX
National Provider Identifier
1548538283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 104746
- Legal business name
- WESLEYAN HOMES, INC.
- Doing business as
- The Wesleyan At Estrella Assisted Living
- Practice address
- 109 Estrella Crossing
Georgetown, TX 78628-6973 - Phone
- (512) 863-2528
- Fax
- (512) 869-2687
- NPI assigned
- Dec 8, 2011
- Organization subpart
- Yes
- Parent organization
- WESLEYAN HOMES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jude A Mahler
- Title
- Revenue Cycle Director
- Phone
- (512) 868-1205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 104746 | TX | Primary |
Addresses
Primary practice location
109 Estrella Crossing
Georgetown, TX 78628-6973
Mailing address
109 Estrella Crossing
Georgetown, TX 78628-6973
Phone (512) 943-9804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104746 | Other | TX | TEXAS FACILITY ID/VENDOR NO. |
Other names 1
- The Wesleyan At Estrella Assisted Living
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210203000410 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 2163433772 | Practice locations: Georgetown, TX |
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 |
|---|---|---|---|
| 45D2198456 | The Wesleyan at Estrella Assisted Living and Memor | Certificate of waiver | Nov 1, 2026 |
National Provider Directory
National Provider Directory- Part of
- Wesleyan Nursing Home
Member organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
dba Wesleyan Hospice - Georgetown, TX
- Community Based Hospice Care Agency
- Georgetown, TX
- NPI 1891844767
Member Of
-
dba Wesleyan Home Health - Georgetown, TX
- Home Health Agency
- Georgetown, TX
- NPI 1952775132
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656633600000",
"number": "1548538283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 ESTRELLA CROSSING",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786286973",
"telephone_number": "512-943-9804",
"fax_number": "512-869-2687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 ESTRELLA CROSSING",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786286973",
"telephone_number": "512-863-2528",
"fax_number": "512-869-2687"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESLEYAN HOMES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WESLEYAN HOMES, INC",
"enumeration_date": "2011-12-08",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A",
"authorized_official_last_name": "MAHLER",
"authorized_official_first_name": "JUDE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
"authorized_official_telephone_number": "512-868-1205"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": "104746",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS FACILITY ID/VENDOR NO.",
"identifier": "104746",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Wesleyan At Estrella Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Georgetown, TX
- David Weinthal
- Jenni Weiss
- Wellness Bay LLC
- Jessica Leigh Wells, R.D.
- Katherine Wentworth, PA-C
- Wesleyan Homes, Inc. (The Wesleyan at Scenic)
- Wesleyan Homes, Inc. (Wesleyan Hospice - Georgetown, TX)
- Wesleyan Homes, Inc. (Wesleyan Home Health - Georgetown, TX)
- West Texas Medical Supply
- Danielle Terryl West, MA LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.