Provider Demographics
NPI:1376763821
Name:WESLEY HOME HEALTH SERVICES INC
Entity type:Organization
Organization Name:WESLEY HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALT.ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KINGSLEY
Authorized Official - Middle Name:C
Authorized Official - Last Name:NWASURUBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-772-9900
Mailing Address - Street 1:10701 CORPORATE DR
Mailing Address - Street 2:SUITE 332
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477
Mailing Address - Country:US
Mailing Address - Phone:713-772-9900
Mailing Address - Fax:713-772-9695
Practice Address - Street 1:10701 CORPORATE DR
Practice Address - Street 2:SUITE 332
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477
Practice Address - Country:US
Practice Address - Phone:713-772-9900
Practice Address - Fax:713-772-9695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX010219251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010219OtherSTATE LIC. NUMBER
TX010219OtherTEXAS HEALTH AND HUMAN COMMISION LICENCE #