Provider Demographics
NPI:1881174852
Name:WESLEY HEALTHCARE, LLC
Entity type:Organization
Organization Name:WESLEY HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADEJUMOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:OSHINUGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-419-3500
Mailing Address - Street 1:7322 SOUTHWEST FWY STE 660
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2082
Mailing Address - Country:US
Mailing Address - Phone:832-419-3500
Mailing Address - Fax:
Practice Address - Street 1:7322 SOUTHWEST FWY STE 660
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2082
Practice Address - Country:US
Practice Address - Phone:832-419-3500
Practice Address - Fax:713-588-8863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based