Healthcare Provider Details

I. General information

NPI: 1518919778
Provider Name (Legal Business Name): WESBURY UNITED METHODIST COMMUNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 PARK AVE
MEADVILLE PA
16335-9440
US

IV. Provider business mailing address

31 PARK AVE
MEADVILLE PA
16335-9440
US

V. Phone/Fax

Practice location:
  • Phone: 814-332-9000
  • Fax: 814-333-2163
Mailing address:
  • Phone: 814-332-9000
  • Fax: 814-333-2163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number990902
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number447730
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number2324
License Number StatePA

VIII. Authorized Official

Name: MR. BRIAN S NAGEOTTE
Title or Position: CFO
Credential: CPA
Phone: 814-332-9000