Organization Active NPI

WM Senior Care LLC

  • Assisted Living Facility
  • Conroe, TX
National Provider Identifier
1053979658
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Aug 7, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.