Organization Active NPI

Wesleyan Homes, Inc.

Doing business as The Wesleyan At Estrella Assisted Living

  • Assisted Living Facility
  • Georgetown, TX
National Provider Identifier
1548538283
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
104746 Issued in TX
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, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
104746OtherTXTEXAS FACILITY ID/VENDOR NO.

Other names 1

  • The Wesleyan At Estrella Assisted Living Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210203000410 TX Part B Supplier - Mass Immunization (Roster Biller Only) 2163433772 Practice locations: Georgetown, TX

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
45D2198456The Wesleyan at Estrella Assisted Living and Memor109 Estrella Crossing, Georgetown, TX 78628Certificate of waiverNov 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.

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

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.

Verify at the official NPI Registry.