Wesley Haven Villa Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10688 Issued in FL

Legal business name

WESLEY HAVEN VILLA INC

Practice address

111 E Wright St
Pensacola, FL 32501-4847

Phone

(850) 434-1035

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

A Wray Tomlin

Title

President and Ceo

Phone

(205) 951-2442

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750430344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 COOPER HILL RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352102303",
            "telephone_number": "205-951-2442",
            "fax_number": "205-956-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E WRIGHT ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325014847",
            "telephone_number": "850-434-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY HAVEN VILLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOMLIN",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "WRAY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "205-951-2442"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Carl Wendt, MD
• Anne Wentz
• Ira H Wenze III, M.S., OTR/L
• Jennifer M Werrell, OD
• Randy Wesenberg, OT
• Lenora Diann Wesley
• West Floorida Hearing Aid Centers
• West Florida Behavioral Health Inc
• West Florida Cardiology Physicians, LLC
• West Florida Dental

• Assisted Living Facility in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.