NPIMap

Organization Active NPI

Wesley Partners Senior Living LLC

  • Assisted Living Facility
  • Bonham, TX
National Provider Identifier
1669243812
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WESLEY PARTNERS SENIOR LIVING LLC
Practice address
1200 W Russell Ave
Bonham, TX 75418-2350
Phone
(903) 640-1200
Fax
(903) 270-6227
NPI assigned
Jan 15, 2024
Last updated
Jan 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Joshua G Jordan
Title
Managing Member
Phone
(903) 537-4522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1200 W Russell Ave
Bonham, TX 75418-2350

Mailing address

PO Box 612
Mount Vernon, TX 75457-0612
Phone (903) 537-4522

National Provider Directory

National Provider Directory
Tax ID family
Wesley House4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1669243812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612",
            "city": "MOUNT VERNON",
            "state": "TX",
            "postal_code": "754570612",
            "telephone_number": "903-537-4522",
            "fax_number": "903-270-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W RUSSELL AVE",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754182350",
            "telephone_number": "903-640-1200",
            "fax_number": "903-270-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY PARTNERS SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "903-537-4522"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.