WESLEY VILLAGE, INC (NPI# 1275950255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275950255 |
| Entity Type | Organization |
| Organization Name | WESLEY VILLAGE, INC |
| Other Organization Name | WESLEY HOME HEALTH |
| Practice Address |
1200 E Grant St Macomb IL 61455-3428 |
| Practice Telephone | 3098332613 |
| Mailing Telephone | 3098332613 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |
| Authorized Official Name | ANGELA BENHAM (ADMINISTRATOR) |
| Authorized Official Telephone | 3098332613 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | IL | Agencies |
| Other Name | Type Code |
|---|---|
| Wesley Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| Street Address |
1200 E GRANT ST |
| City | MACOMB |
| State | IL |
| Zip Code | 61455-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558471714 | Wesley Village | Nursing Facility/Intermediate Care Facility | 1200 E Grant St, Macomb, IL 61455-3428 | 2006-08-30 |
| 1245858505 | Yiyang Shen | Specialist/Technologist | 1200 E Grant St, Macomb, IL 61455-3428 | 2020-07-13 |
| 1851924898 | Alison K Mixer | Occupational Therapist | 1200 E Grant St, Macomb, IL 61455-3499 | 2020-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1780154013 | Hannah Lauren Bengtson | Optometrist | 820 E. Jackson St., Macomb, IL 61455 | 2018-11-29 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1720356504 | Dawn M. Kedzior | Social Worker | 103 South Johnson Street, Macomb, IL 61455 | 2011-12-07 |
| 1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
| 1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
| 1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
| 1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
| Find all providers in zip 61455 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672577 | Untied Hearts Group | Home Health | 45487 Pentwater Dr, Macomb, MI 48044-4236 | 2020-02-26 |
| 1669938270 | Tiara Nicole Butler | Home Health | 18191 21 Mile Rd, Macomb, MI 48044-2703 | 2019-02-19 |
| 1982168621 | Lakisha Frierson | Home Health | 22658 Gateway Dr, Macomb, MI 48044-3747 | 2019-01-28 |
| 1740750629 | From The Heart Home Health Care, LLC | Home Health | 21728 Sandra Theresa Dr, Macomb, MI 48044-6410 | 2018-12-04 |
| 1609309509 | Home Health Mi LLC | Home Health | 49633 Lehr Dr, Macomb, MI 48044-1750 | 2017-04-07 |
| 1104367887 | Sunny Skies Home Help LLC | Home Health | 21219 Brent Ct, Macomb, MI 48044-1354 | 2017-03-15 |
| 1669844742 | Family Partners Homecare | Home Health | 51833 Blue Spruce Dr, Macomb, MI 48042-4229 | 2015-10-28 |
| 1962603456 | Angelic Homecare, Inc. | Home Health | 21602 Carleton Place Dr, Macomb, MI 48044-3059 | 2007-05-30 |
| 1427273093 | Family Alliance Home Health Care, LLC | Home Health | 46301 Riverwoods Dr, Macomb, MI 48044-5760 | 2007-04-17 |
| 1639713373 | Signature Home Care LLC | Home Health | 21027 Batchelder Ct, Macomb, MI 48044-1824 | 2019-11-06 |
| Find all providers in MACOMB | ||||
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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.