WESLEYAN HOME CARE, INC. (NPI# 1871786616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871786616 |
| Entity Type | Organization |
| Organization Name | WESLEYAN HOME CARE, INC. |
| Other Organization Name | HOMESTEAD MANOR |
| Practice Address |
410 Colonial Dr Denton MD 21629-3055 |
| Practice Telephone | 4104792273 |
| Practice Fax Number | 4104790180 |
| Mailing Telephone | 4104792273 |
| Mailing Fax Number | 4104790180 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |
| Authorized Official Name | MRS. ELIZABETH MIDIRI (ADMINISTRATOR / DIRECTOR OF NURSING) |
| Authorized Official Telephone | 4104792273 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 05AL026 | MD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 5510260000 | 05 |
| Other Name | Type Code |
|---|---|
| Homestead Manor | Doing Business As Name - Organization |
| Street Address |
410 COLONIAL DR |
| City | DENTON |
| State | MD |
| Zip Code | 21629-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423060 | Marilyn Serino | Social Worker | 207 South 7th Street, Denton, MD 21629 | 2019-02-20 |
| 1699246421 | Jody Lynn Wagner | Speech-Language Pathologist | 204 Market Street, Denton, MD 21629 | 2018-12-05 |
| 1487136404 | Thomas J. Yoder | Physical Therapist | 103 South 7th Street, Denton, MD 21629 | 2018-09-06 |
| 1821512773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21 Denton Plz, Denton, MD 21629 | 2017-08-02 |
| 1548708803 | Board of Child Care of The Umc Inc | Community/Behavioral Health | 27993 Substation Rd, Denton, MD 21629 | 2017-02-07 |
| 1598219156 | Deanna Mcmullen | Physical Therapist | 1140 Blades Farm Rd Ste 201, Denton, MD 21629 | 2016-08-11 |
| 1538574314 | Medha Satyarengga | Internal Medicine | 1140 Blades Farm Rd Ste 101, Denton, MD 21629 | 2014-06-30 |
| 1104147586 | Kimberly Schall | Physical Therapist | 103 S. 7th Steet, Denton, MD 21629 | 2010-06-19 |
| 1891926978 | Choptank Community Health System, Inc. | Clinic/Center | 401 Lockerman St, Denton, MD 21629 | 2009-08-06 |
| 1285896951 | Carolyn F. Witt | Social Worker | 606 Sunnyside St., Denton, MD 21629 | 2008-06-25 |
| Find all providers in zip 21629 | ||||
| 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 |
|---|---|---|---|---|
| 1376191346 | Choptank Assisted Living LLC | Assisted Living Facility | 1233 Painted Fern Rd, Denton, MD 21629-3049 | 2019-09-03 |
| 1447808134 | Mg Al Denton LLC Dba Mayberry Gardens | Assisted Living Facility | 3636 Teasley Ln, Denton, TX 76210-8470 | 2019-08-27 |
| 1053684258 | Denton Memory Care | Assisted Living Facility | 2505 Brinker Rd, Denton, TX 76208-6430 | 2012-02-17 |
| 1619259892 | Nuhope Eldercare of North Texas | Assisted Living Facility | 920 Dixon Ln, Denton, TX 76207-8117 | 2011-09-14 |
| 1669684759 | The Gables At Caroline Inc | Assisted Living Facility | 701 S 5th Ave, Denton, MD 21629-1364 | 2007-05-03 |
| 1003972340 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2525 N. Hinkle Drive, Denton, TX 76201 | 2006-12-29 |
| 1700942984 | Kgc Operator, Inc. | Assisted Living Facility | 2525 Lillian Miller Pkwy, Denton, TX 76210-2945 | 2006-12-29 |
| 1114311313 | The Gables At Caroline, LLC | Assisted Living Facility | 701 S 5th Ave, Denton, MD 21629-1364 | 2015-03-25 |
| 1679718407 | Vintage Scc LLC | Assisted Living Facility | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2008-12-08 |
| 1871775288 | Senior Care Services | Assisted Living Facility | 205 N Bonnie Brae St, Denton, TX 76201-3766 | 2007-11-28 |
| Find all providers in DENTON | ||||
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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.