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Organization Active NPI

Wesley House Alf #3

  • Assisted Living Facility
  • Wesley Chapel, FL
National Provider Identifier
1972775203
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL11126 Issued in FL
Legal business name
WESLEY HOUSE ALF #3
Practice address
28502 Tall Grass Dr
Wesley Chapel, FL 33543-5829
Phone
(813) 991-5071
NPI assigned
Mar 27, 2008
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
WESLEY HOUSE ALF #3As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Mrs. Lola Jeyede
Title
Owner Administrator
Phone
(813) 469-4496

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL11126 FL Primary
Assisted Living Facility (Mental Illness) 3104A0625X AL11126 FL

Addresses

Primary practice location

28502 Tall Grass Dr
Wesley Chapel, FL 33543-5829

Mailing address

28502 Tall Grass Dr
Wesley Chapel, FL 33543-5829
Phone (813) 991-4133

Other identifiers 2

IdentifierTypeStateIssuer
681743296OtherFLWAIVERS RES HABILITATION
140033900MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Wesley House Aif3 organizations share this tax ID, including this one
Part of
Wesley House Aif

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1972775203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28502 TALL GRASS DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435829",
            "telephone_number": "813-991-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28502 TALL GRASS DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435829",
            "telephone_number": "813-991-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY HOUSE ALF #3",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESLEY HOUSE ALF #3",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "JEYEDE",
        "authorized_official_first_name": "LOLA",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "813-469-4496",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11126",
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "AL11126",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAIVERS RES HABILITATION",
            "identifier": "681743296",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140033900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.