Active NPI
Methodist Home for the Aging
Doing business as Wesley Place on Honeysuckle
- Skilled Nursing Facility
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 12551
- Legal business name
- METHODIST HOME FOR THE AGING
- Doing business as
- Wesley Place on Honeysuckle
- Practice address
- 718 Honeysuckle Rd
Dothan, AL 36305-1104 - Phone
- (334) 792-0921
- NPI assigned
- Aug 30, 2006
- Last updated
- Oct 7, 2016
- Organization subpart
- Yes
- Parent organization
- METHODIST HOME FOR THE AGING
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Regina T Lawler
- Title
- Vice President
- Phone
- (205) 951-2442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 12551 | AL | Primary |
Addresses
Primary practice location
718 Honeysuckle Rd
Dothan, AL 36305-1104
Mailing address
1520 Cooper Hill Rd
Birmingham, AL 35210-2303
Phone (205) 951-2442
Other names 1
- Wesley Place on Honeysuckle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100317000386 | AL | Part A Provider - Skilled Nursing Facility | 0345150355 | Practice locations: Dothan, AL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1982713087. Details of each certification follow.
Skilled nursing facility certification: CCN 015175
- Legal name
- METHODIST HOME FOR THE AGING
- Doing business as
- WESLEY PLACE ON HONEYSUCKLE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1977
- Last certification
- Mar 23, 2024
- Beds
- 166
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- Methodist Homes of AL and NW FL
- Organization structure
- Corporation
- Incorporated
- Oct 1, 1956 in AL
- Enrollment address
- 718 Honeysuckle Rd
Dothan, AL 36305-1104 - Nursing home name
- WESLEY PLACE ON HONEYSUCKLE
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Fair Haven
- Skilled Nursing Facility
- Birmingham, AL
- NPI 1528177615
0345150355
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Wesley Place on Honeysuckle
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 1, 1977
- Medicare certification status
- Active
- Certified beds
- 166
- Penalties (3 years)
- 11
National Provider Directory
National Provider Directory- Tax ID family
- Wesley Place on Honeysuckle Scalf
- Part of
- Wesley Place on Honeysuckle Scalf
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Irondale, AL
- NPI 1619575792
-
dba Fair Haven Assisted Living
- Assisted Living Facility
- Irondale, AL
- NPI 1033716659
-
dba Fair Haven Oral Health Center
- Dental Clinic/Center
- Irondale, AL
- NPI 1932650769
-
- Assisted Living Facility
- Dothan, AL
- NPI 1871191114
-
- Assisted Living Facility
- Dothan, AL
- NPI 1003414061
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 26
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Terrye Takacs | Corporate Director | Feb 22, 2010 | |
| Thomas E Waters | Corporate Director | Aug 19, 2010 | |
| Methodist Home for the Aging | Operational/Managerial Control | Feb 22, 2010 | |
| Samuel G Sumner | Corporate Director | Aug 16, 2012 | |
| Samual Williamson | Corporate Director | Feb 22, 2010 | |
| Steven Lyles | Corporate Officer | Aug 11, 2011 | |
| Lynn C Chapman | Corporate Director | Aug 8, 2013 | |
| James W Steele | Corporate Director | Aug 11, 2016 | |
| Nathan Leslie Carden | Corporate Director | Aug 8, 2019 | |
| Vicki H Jackson | Corporate Officer | Apr 26, 2012 | |
| James Sanders | Corporate Director | Feb 22, 2010 | |
| John Mount | Corporate Director | Feb 22, 2010 | |
| Henry Roberts | Corporate Director | Feb 22, 2010 | |
| Robert Scales | Corporate Director | Feb 22, 2010 | |
| Michael Giles | Corporate Director | Feb 22, 2010 | |
| Maudine Holloway | Corporate Director | Feb 22, 2010 | |
| Betty H Salter | Corporate Director | Feb 22, 2010 | |
| Ronald E Schultz | Corporate Officer | Aug 19, 2010 | |
| Scott Russell | Corporate Director | Feb 22, 2010 | |
| Daniel H March | W-2 Managing Employee | Mar 23, 2020 | |
| Robert McKee | Corporate Director | Feb 22, 2010 | |
| John Baxter | Corporate Director | Feb 22, 2010 | |
| Tommy W Peacock | Corporate Director | Aug 16, 2012 | |
| Marsha Clark | Corporate Director | Feb 22, 2010 | |
| John Mathison | Corporate Director | Feb 22, 2010 | |
| Christopher Tomlin | Corporate Director | Feb 22, 2010 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Fair Haven
- Skilled Nursing Facility
- Birmingham, AL
- NPI 1528177615
Operational/Managerial Control
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Fair Haven | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF Direct Ownership Interest (100%) |
Mar 7, 1967 Mar 7, 1967 Mar 7, 1967 Mar 7, 1967 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Fair Haven
- Skilled Nursing Facility
- Birmingham, AL
- NPI 1528177615
5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Fair Haven
- Skilled Nursing Facility
- Birmingham, AL
- NPI 1528177615
Methodist Home for the Aging
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1063481273
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475798400000",
"number": "1982713087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 COOPER HILL RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352102303",
"telephone_number": "205-951-2442",
"fax_number": "205-956-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 HONEYSUCKLE RD",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051104",
"telephone_number": "334-792-0921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METHODIST HOME FOR THE AGING",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "METHODIST HOME FOR THE AGING",
"enumeration_date": "2006-08-30",
"last_updated": "2016-10-07",
"status": "A",
"authorized_official_last_name": "LAWLER",
"authorized_official_first_name": "REGINA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "205-951-2442"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AL",
"license": "12551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wesley Place on Honeysuckle",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dothan, AL
- Rodney W Merritt, DC
- Alexis Messina
- Metamorphosis Services, LLC
- Abygail Rose Metcalf
- Jacob Metcalf, CRNA
- Metro Oral & Maxillofacial
- Audrey Metcalf Meuleman
- Michael Griffin PC (Dothan Optometric Clinic)
- Mid-South Home Care Services, LLC (Mid-South Respiratory Services & HME)
- Mid-South Home Care Services, LLC (Empatia Palliative Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.