Wesley Woods Long Term Hospital, Inc

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

044-529 Issued in GA

Legal business name

WESLEY WOODS LONG TERM HOSPITAL, INC

Practice address

1821 Clifton Rd NE
Atlanta, GA 30329-4021

Phone

(404) 686-7041

Fax

(404) 712-5731

NPI assigned

Dec 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jimmy T Hatcher

Title

Cfo Emory Healthcare

Phone

(404) 686-2983

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629055199. Details of each certification follow.

• CCN 110210 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 110210

Legal name

WESLEY WOODS LONG TERM CARE HOSPITAL

Certification status

Terminated Other: provider status change, Mar 31, 1994

Provider type (POS)

Hospital – Short-term

Participating since

Oct 1, 1993

Last certification

Sep 29, 1993

Beds

18

Ownership / control type

Private (not for profit)

Facility address

1821 Clifton Road NE
Atlanta, GA 30329

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1629055199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE",
            "address_2": "ROOM HB48",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221064",
            "telephone_number": "404-686-7041",
            "fax_number": "404-712-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303294021",
            "telephone_number": "404-686-7041",
            "fax_number": "404-712-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY WOODS LONG TERM HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "HATCHER",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO EMORY HEALTHCARE",
        "authorized_official_telephone_number": "404-686-2983",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "GA",
            "license": "044-529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00339831A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deondra Renetta Wesby
• Wescastle Health Care LLC (Wescastle Healthcare)
• Sharon Palmer Weske
• Wesley S Wilborn MD PC (Metro Atlanta Dermatology Group)
• Wesley Woods Center of Emory University, Inc (Budd Terrace at Wesley Woods)
• Hunter Wesley, RBT
• Joiet Wesley, LPC
• Julia Wesley
• Stacie Wesley, CPNP
• Wesmiledental LLC.

• Long Term Care Hospital in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Long Term Care Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.