Organization Active NPI

Wesley & Edwin, LLC

  • In Home Supportive Care Agency
  • Albuquerque, NM
National Provider Identifier
1881900579
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WESLEY & EDWIN, LLC
Practice address
221 Conchas St NE
Albuquerque, NM 87123-2703
Phone
(505) 550-2642
Fax
(267) 276-0511
NPI assigned
Aug 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Authorized official

Name
Tracee M Ashley-Holden
Title
Director
Phone
(505) 550-2642

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community Based Hospice Care Agency 251G00000X
Public Health or Welfare Agency 251K00000X
PACE Provider Organization 251T00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

221 Conchas St NE
Albuquerque, NM 87123-2703

Mailing address

7905 Marquette Ave NE
Unit B
Albuquerque, NM 87108-6703
Phone (505) 550-2642

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1881900579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 MARQUETTE AVE NE",
            "address_2": "UNIT B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871086703",
            "telephone_number": "505-550-2642",
            "fax_number": "267-276-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 CONCHAS ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232703",
            "telephone_number": "505-550-2642",
            "fax_number": "267-276-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY & EDWIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "ASHLEY-HOLDEN",
        "authorized_official_first_name": "TRACEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-550-2642"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.