Organization Active NPI

Wendy Krzoska LLC

  • Home Health Aide
  • Lake City, FL
National Provider Identifier
1063241552
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
WENDY KRZOSKA LLC
Practice address
910 SW Sherlock Ter
Lake City, FL 32024-5280
Phone
(850) 294-5123
NPI assigned
Jul 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Wendy KrzoskaNPI 1225734015
Title
Cna
Phone
(850) 294-5123

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
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

910 SW Sherlock Ter
Lake City, FL 32024-5280

Mailing address

910 SW Sherlock Ter
Lake City, FL 32024-5280
Phone (850) 294-5123

Other names 1

  • Wendy Krzoska LLC Doing business as

National Provider Directory

National Provider Directory

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": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1063241552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 SW SHERLOCK TER",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320245280",
            "telephone_number": "850-294-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SW SHERLOCK TER",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320245280",
            "telephone_number": "850-294-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY KRZOSKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "KRZOSKA",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CNA",
        "authorized_official_telephone_number": "850-294-5123"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wendy Krzoska LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.