Organization Active NPI

GRN Endeavors, LLC

Doing business as Independence Wrx

  • In Home Supportive Care Agency
  • League City, TX
National Provider Identifier
1053934448
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRN ENDEAVORS, LLC
Doing business as
Independence Wrx
Practice address
3132 Moonlit Lake Cir
League City, TX 77573-5972
Phone
(832) 315-1339
NPI assigned
May 20, 2020
Organization subpart
Yes
Parent organization
GRN ENDEAVORS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gilda Vasquez, LNFANPI 1811552094
Title
Owner/President
Phone
(832) 315-1339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3132 Moonlit Lake Cir
League City, TX 77573-5972

Mailing address

3132 Moonlit Lake Cir
League City, TX 77573-5972
Phone (832) 315-1339

Other names 1

  • Independence Wrx Doing business as

National Provider Directory

National Provider Directory
Part of
GRN Endeavors LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1053934448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 MOONLIT LAKE CIR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735972",
            "telephone_number": "832-315-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 MOONLIT LAKE CIR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735972",
            "telephone_number": "832-315-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRN ENDEAVORS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRN ENDEAVORS, LLC",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "GILDA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "832-315-1339",
        "authorized_official_credential": "LNFA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independence Wrx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.