WESLEY HOMES DES MOINES LLC (NPI# 1568450807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568450807 |
| Entity Type | Organization |
| Organization Name | WESLEY HOMES DES MOINES LLC |
| Other Organization Name | WESLEY HOMES HEALTH CENTER |
| Practice Address |
1122 S 216th St Des Moines WA 98198-8301 |
| Practice Telephone | 2068701345 |
| Practice Fax Number | 2068701321 |
| Mailing Telephone | 2068701345 |
| Mailing Fax Number | 2068701321 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2007-08-02 |
| Authorized Official Name | MR. MARK C GUSTAFSON (CAMPUS ADMINISTRATOR) |
| Authorized Official Telephone | 2068701300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1096 | WA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 4110961 | 05 |
| Other Name | Type Code |
|---|---|
| Wesley Homes Health Center | Doing Business As Name - Organization |
| Street Address |
1122 S 216TH ST |
| City | DES MOINES |
| State | WA |
| Zip Code | 98198-8301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902360555 | Elizabeth Wise | Speech-Language Pathologist | 1122 S 216th St, Des Moines, WA 98198-8301 | 2019-01-28 |
| 1700353216 | Lonni Farero | Occupational Therapist | 1122 S 216th St, Des Moines, WA 98198-8301 | 2018-11-01 |
| 1437676897 | Parke Keever Humphrey I | Physical Therapist | 1122 S 216th St, Des Moines, WA 98198-8301 | 2017-08-26 |
| 1174918247 | Sonia Nurkse | Occupational Therapist | 1122 S 216th St, Des Moines, WA 98198-8301 | 2015-04-05 |
| 1104062900 | Jaclyn Deanna Milewski | Physical Therapy Assistant | 1122 S 216th St, Des Moines, WA 98198 | 2008-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194273367 | Lisa Adams | Occupational Therapy Assistant | 933 S 262nd Pl, Des Moines, WA 98198 | 2016-09-16 |
| 1356894125 | Melissa Pearson | Nurse Practitioner | 1826 S 250th Pl, Des Moines, WA 98198 | 2016-07-28 |
| 1528432010 | Sea-mar Community Health Center | Dentist | 2781 South 242nd St, Seattle, WA 98198 | 2015-11-20 |
| 1578944864 | Alexander Stephen Topor | Dentist | 26401 Pacific Hwy S.#201, Des Moines, WA 98198 | 2015-06-12 |
| 1942699301 | Sunshine Luzano Yap | Occupational Therapy Assistant | 23600 Marine View Dr. S., Des Moines, WA 98198 | 2015-01-22 |
| 1326481136 | Mylinh Nguyen | Pharmacist | 21615 Pacific Highway So., Des Moines, WA 98198 | 2013-04-10 |
| 1922351527 | Healthpoint | Clinic/Center | 26401 Pacific Hwy S., Suite 101, Des Moines, WA 98198 | 2012-10-19 |
| 1326316142 | Sea-mar Community Health Center | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198 | 2011-12-07 |
| 1023318615 | Andrew Francis Torres | Physical Therapy Assistant | 2800 South 224th St., Des Moines, IA 98198 | 2010-10-28 |
| 1194032896 | Brigitte Rey Wagner | Physical Therapy Assistant | 815 S 216th St, Wesley Home, Des Moines, WA 98198 | 2010-09-02 |
| Find all providers in zip 98198 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023679057 | Bcp Union Park, LLC | Skilled Nursing Facility | 2401 E 8th St, Des Moines, IA 50316-1717 | 2019-06-20 |
| 1952471401 | Crystal Properties, Inc | Skilled Nursing Facility | 5608 Sw 9th St, Des Moines, IA 50315-5003 | 2006-11-09 |
| 1891876306 | Humangood Washington | Skilled Nursing Facility | 23600 Marine View Dr S, Des Moines, WA 98198 | 2006-10-18 |
| 1831209279 | Evangelical Retirement Homes, Inc. | Skilled Nursing Facility | 2571 Guthrie Ave, Des Moines, IA 50317-3019 | 2006-08-30 |
| 1114972577 | Five Star Quality Care-ia Inc | Skilled Nursing Facility | 2401 East 8th Street, Des Moines, IA 50316-1717 | 2006-05-24 |
| 1790745388 | Centers for Long Term Care of Iowa, Inc | Skilled Nursing Facility | 233 University Ave, Des Moines, IA 50314-3124 | 2006-03-27 |
| 1508843947 | Wesley Retirement Services, Inc. | Skilled Nursing Facility | 3520 Grand Ave, Des Moines, IA 50312-4359 | 2005-12-28 |
| 1962493247 | Stafford Healthcare, Seatac, LLC | Skilled Nursing Facility | 2800 South 224th St, Des Moines, WA 98198-5132 | 2005-11-04 |
| 1447248372 | Calvin Community | Skilled Nursing Facility | 4210 Hickman Rd, Des Moines, IA 50310-3333 | 2005-10-13 |
| 1821090424 | Abcm Corporation | Skilled Nursing Facility | 701 Riverview St, Des Moines, IA 50316-2312 | 2005-08-12 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 98198 |
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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.