Wesley Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

WESLEY HOSPICE, LLC

Practice address

4588 Wesley Woods Blvd Ste 2a
New Albany, OH 43054

Phone

(614) 451-6700

NPI assigned

Nov 24, 2009

Last updated

May 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Little

Title

Director of Billing & Collections

Phone

(614) 396-4931

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821326125. Details of each certification follow.

• CCN 361665 Hospice · Active · Details

Hospice certification: CCN 361665

Legal name

WESLEY HOSPICE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 1, 2012

Last certification

Aug 1, 2012

Ownership / control type

Other

Organization structure

LLCProprietary

Incorporated

Jun 3, 2009 in OH

Enrollment address

4588 Wesley Woods Blvd
Ste 2a
New Albany, OH 43054-7674

Listed as

Wesley Hospice, LLCCCN 361665 · All quality measures

Ownership

Other

Certified

Aug 1, 2012

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Thomas McEldowney, D.O.

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1760573810

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Gavin Paul Baumgardner, D.O.

  • Hospitalist Physician
  • Athens, OH
  • NPI 1538265434

  Hospice

  Care Compare affiliation
• John M Dipietra, MD

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1295770469

  Hospice

  Care Compare affiliation
• Thomas McEldowney, D.O.

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1760573810

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1821326125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4588 WESLEY WOODS BLVD STE 2A",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547674",
            "telephone_number": "614-451-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4588 WESLEY WOODS BLVD STE 2A",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "43054",
            "telephone_number": "614-451-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING & COLLECTIONS",
        "authorized_official_telephone_number": "614-396-4931"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jo P Welker, MD
• James Maurice Wellbaum II, M.D.
• Welluxi Health Inc
• Christopher James Wendel, PHD, DBSM
• Susan Jane Wertz, PT
• Wesley Woods at New Albany
• Wesley Woods at New Albany
• Sarah Westbrook, LPN
• Samuel D Westenskow, DO
• Brett A Wheeler, MD

• Community Based Hospice Care Agency in New Albany, OH
• Providers in New Albany, OH by specialty
• Community Based Hospice Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.
• 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.