Provider Demographics
NPI:1730380361
Name:WESLEY COMMUNITY SERVICES, INC.
Entity type:Organization
Organization Name:WESLEY COMMUNITY SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:OFELT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-699-3370
Mailing Address - Street 1:5508 NW 88TH STREET
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131
Mailing Address - Country:US
Mailing Address - Phone:515-271-6777
Mailing Address - Fax:515-284-1996
Practice Address - Street 1:5508 NW 88TH STREET
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131
Practice Address - Country:US
Practice Address - Phone:515-271-6777
Practice Address - Fax:515-284-1996
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WESLEYLIFE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-30
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA161587Medicare Oscar/Certification
161587Medicare UPIN