Wesley Homes Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

WESLEY HOMES HOSPICE, LLC

Practice address

18000 72ND Ave S Ste 217
Kent, WA 98032-1035

Phone

(206) 870-1118

Fax

(206) 870-4165

NPI assigned

Jun 30, 2021

Last updated

Jun 30, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

WESLEY HOMES HOSPICE, LLCAs reported in NPPES

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

Authorized official

Name

Melinda Moore

Title

Executive Director

Phone

(206) 870-1118

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wesley Palliative Care Program Other name

Electronic endpoints 1

Tax ID family

Wesley Homes Hospice LLC2 organizations share this tax ID, including this one

Part of

Wesley Homes Hospice LLC

Other organizations with this tax ID 1

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

• Wesley Homes Hospice, LLC

  • Community Based Hospice Care Agency
  • Des Moines, WA
  • NPI 1851831994
  NPD tax ID

Locations

Interoperability endpoints

• Direct secure messaging: palliativecareteam@wesleyhomes.org

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1649840638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 72ND AVE S STE 217",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321035",
            "telephone_number": "206-870-1118",
            "fax_number": "206-870-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 72ND AVE S STE 217",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321035",
            "telephone_number": "206-870-1118",
            "fax_number": "206-870-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY HOMES HOSPICE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESLEY HOMES HOSPICE, LLC",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "206-870-1118"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2098216",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PalliativeCareTeam@wesleyhomes.org",
            "affiliation": "N",
            "endpointDescription": "secure email address to Palliative Care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "18000 72nd Ave S Ste 217",
            "city": "Kent",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980321035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wesley Palliative Care Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Peter M Weiss, LMHC
• Welcoming Hands Home Care LLC
• Alec M Wells, BA
• Brian J Wen, DDS
• Katherine A. Wertin, M.D.
• Emily Wesley, LICSW
• West Coast Therapy, LLC
• West Hill Dental Clinic
• West Hill Medical Clinic Inc (West Hill Medical Clinic)
• West Kent Dental LLC (Comfort Dental West Kent)

• Community Based Hospice Care Agency in Kent, WA
• Providers in Kent, WA by specialty
• Community Based Hospice Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.