Wesleyan Home Care, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

05AL026 Issued in MD

Legal business name

WESLEYAN HOME CARE, INC.

Doing business as

Homestead Manor

Practice address

410 Colonial Dr
Denton, MD 21629-3055

Phone

(410) 479-2273

Fax

(410) 479-0180

NPI assigned

Aug 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Midiri, R.N.

Title

Administrator / Director of Nursing

Phone

(410) 479-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Homestead Manor Doing business as

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1871786616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 COLONIAL DR",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216293055",
            "telephone_number": "410-479-2273",
            "fax_number": "410-479-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 COLONIAL DR",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216293055",
            "telephone_number": "410-479-2273",
            "fax_number": "410-479-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEYAN HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "MIDIRI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR / DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "410-479-2273",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "05AL026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5510260000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homestead Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Denton, MD
• Providers in Denton, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.