WESLEYAN VILLAGE (NPI# 1194283663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194283663 |
| Entity Type | Organization |
| Organization Name | WESLEYAN VILLAGE |
| Practice Address |
807 West Ave Elyria OH 44035-5898 |
| Practice Telephone | 4402849000 |
| Practice Fax Number | 4402849636 |
| Mailing Telephone | 4402849000 |
| Mailing Fax Number | 4402849636 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Authorized Official Name | ELAN RUGGILL (PRESIDENT) |
| Authorized Official Telephone | 7342225275 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2527751 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528065737 | Wesleyan Village | Skilled Nursing Facility | 807 West Ave, Elyria, OH 44035-5898 | 2005-07-01 |
| Street Address |
807 WEST AVE |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035-5898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528065737 | Wesleyan Village | Skilled Nursing Facility | 807 West Ave, Elyria, OH 44035-5898 | 2005-07-01 |
| 1942609102 | Kristen Schulte | Nurse Practitioner | 807 West Ave, Elyria, OH 44035-5898 | 2014-08-13 |
| 1245543172 | Amanda Beth Bennett | Occupational Therapy Assistant | 807 West Ave, Elyria, OH 44035-5898 | 2010-07-20 |
| 1841216462 | Swarnalatha Meyyazhagan | Internal Medicine | 807 West Ave, Elyria, OH 44035-5898 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487899 | Nancy Lee Ward | Assisted Living Facility | 15069 Matville Rd, Orient, OH 43146-9725 | 2020-11-04 |
| 1235738014 | Country Living | Assisted Living Facility | 13028 Us Highway 52, West Portsmouth, OH 45663-8909 | 2020-10-22 |
| 1982203378 | Anna Robinson | Assisted Living Facility | 626 W Judson Ave, Youngstown, OH 44511-3256 | 2020-10-18 |
| 1568060549 | The Inn H Ashland Woods Management Company LLC | Assisted Living Facility | 1050 Dauch Dr., Ashland, OH 44805 | 2020-10-13 |
| 1639783673 | Majestic Care Fairfield Assisted Living LLC | Assisted Living Facility | 5251 Dixie Hwy, Fairfield, OH 45014-3036 | 2020-09-08 |
| 1568075778 | Transparent Care LLC | Assisted Living Facility | 7791 Heathermoor Dr, Columbus, OH 43235-4568 | 2020-08-26 |
| 1649891151 | The Pines Alf Inc. | Assisted Living Facility | 18144 Claridon Troy Rd, Hiram, OH 44234-9698 | 2020-05-06 |
| 1982238754 | Jennings Center for Older Adults | Assisted Living Facility | 10950 Pinegrove Trl, Chardon, OH 44024-8389 | 2020-03-02 |
| 1881228211 | Ashford of Grove City, LLC | Assisted Living Facility | 3197 Southwest Blvd, Grove City, OH 43123-2349 | 2020-02-25 |
| 1326671827 | With Grace, LLC | Assisted Living Facility | 20129 Scottsdale Blvd, Shaker Heights, OH 44122-6460 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.