Organization Active NPI

Wesleyan Homes, Inc.

Doing business as The Wesleyan at Scenic

  • Skilled Nursing Facility
  • Georgetown, TX
National Provider Identifier
1811983885
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
144498 Issued in TX
Legal business name
WESLEYAN HOMES, INC.
Doing business as
The Wesleyan at Scenic
Practice address
2001 Scenic Drive
Georgetown, TX 78626
Phone
(512) 863-9511
Fax
(512) 931-0006
NPI assigned
Sep 23, 2005
Last updated
Sep 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
Mr. Travis G Wheat, LNFA
Title
Administrator
Phone
(512) 863-9511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 144498 TX Primary

Addresses

Primary practice location

2001 Scenic Drive
Georgetown, TX 78626

Mailing address

2001 Scenic Drive
Georgetown, TX 78626
Phone (512) 863-9511

Other identifiers 1

IdentifierTypeStateIssuer
184203102MedicaidTX

Other names 1

  • The Wesleyan at Scenic Doing business as

National Provider Directory

National Provider Directory

Locations

2001 Scenic Dr
Georgetown, TX 78626
Phone (512) 225-6345

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1811983885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SCENIC DRIVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78626",
            "telephone_number": "512-863-9511",
            "fax_number": "512-931-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SCENIC DRIVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78626",
            "telephone_number": "512-863-9511",
            "fax_number": "512-931-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEYAN HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "WHEAT",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-863-9511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNFA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "144498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184203102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wesleyan at Scenic",
            "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 Sep 28, 2016; 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.