MEDICARE: WESLEY HEALTH CARE CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336I0012X	Institutional Pharmacy
2	333600000X	Pharmacy
3	3336L0003X	Long Term Care Pharmacy	018266	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2062270	OTHER		PK

General Provider Information

NPI Number	:	1265449235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESLEY HEALTH CARE CENTER INC

Provider Business Mailing Address
First Line	:	131 LAWRENCE ST
Second Line	:
City	:	SARATOGA SPGS
State	:	NY
Zip	:	12866-1346
Country	:	US
Telephone Number	:	518-587-3600
Fax Number	:	518-691-1640

Provider Business Practice Location Address
First Line	:	131 LAWRENCE ST
Second Line	:
City	:	SARATOGA SPGS
State	:	NY
Zip	:	12866-1346
Country	:	US
Telephone Number	:	518-587-3600
Fax Number	:	518-691-1640

Authorized Official
Title or Position	:	DIRECTOR OF PHARMACY
Name	:	ELENA SCRIVO
Credential	:	RPH
Telephone Number	:	518-691-1461

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	01/15/2026

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