Active NPI
WM Senior Care LLC
- Assisted Living Facility
- Conroe, TX
National Provider Identifier
1053979658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- WM SENIOR CARE LLC
- Practice address
- 11497 Coon Hollow Rd
Conroe, TX 77306-7731 - Phone
- (800) 803-5816
- Fax
- (936) 231-1703
- NPI assigned
- May 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Simeon Damian Anugwom
- Title
- President
- Phone
- (832) 362-5696
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
11497 Coon Hollow Rd
Conroe, TX 77306-7731
Mailing address
11497 Coon Hollow Rd
Conroe, TX 77306-7731
Phone (800) 803-5816
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596758400000",
"number": "1053979658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11497 COON HOLLOW RD",
"city": "CONROE",
"state": "TX",
"postal_code": "773067731",
"telephone_number": "800-803-5816",
"fax_number": "936-231-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11497 COON HOLLOW RD",
"city": "CONROE",
"state": "TX",
"postal_code": "773067731",
"telephone_number": "800-803-5816",
"fax_number": "936-231-1703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WM SENIOR CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-30",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A",
"authorized_official_last_name": "ANUGWOM",
"authorized_official_first_name": "SIMEON",
"authorized_official_middle_name": "DAMIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "832-362-5696"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.