Wesleyan Homes, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

010524 Issued in TX

Legal business name

WESLEYAN HOMES, INC.

Practice address

4219 Williams Dr
Georgetown, TX 78628-1301

Phone

(512) 863-8848

Fax

(512) 863-3117

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mamie Lister, RN., BSN

Title

Executive Director

Phone

(512) 638-8488

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wesleyan Hospice - Georgetown, TX Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Wesleyan Homes, Inc.

  • Assisted Living Facility
  • Georgetown, TX
  • NPI 1548538283

  Member Of

  NPD member

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1891844767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281301",
            "telephone_number": "512-863-8848",
            "fax_number": "512-863-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281301",
            "telephone_number": "512-863-8848",
            "fax_number": "512-863-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEYAN HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "LISTER",
        "authorized_official_first_name": "MAMIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "512-638-8488",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN., BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "010524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX HOSPICE LICENSE",
            "identifier": "010524",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesleyan Hospice - Georgetown, TX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wellness Bay LLC
• Jessica Leigh Wells, R.D.
• Katherine Wentworth, PA-C
• Wesleyan Homes, Inc.
• Wesleyan Homes, Inc.
• Wesleyan Homes, Inc.
• West Texas Medical Supply
• Danielle Terryl West, MA LPC
• White Blossom Dental PLLC
• Caitlin Noto White, FNP-BC

• Community Based Hospice Care Agency in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.