Organization Active NPI

Wenglikowski Healthcare Services, LLC

Doing business as Interim Healthcare of Conroe, Texas

  • In Home Supportive Care Agency
  • Conroe, TX
National Provider Identifier
1063297273
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WENGLIKOWSKI HEALTHCARE SERVICES, LLC
Doing business as
Interim Healthcare of Conroe, Texas
Practice address
3421 W Davis St Ste 220
Conroe, TX 77304-1846
Phone
(936) 600-5552
NPI assigned
Aug 28, 2023
Last updated
Nov 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Katie Wenglikowski, RN
Title
Owner
Phone
(281) 202-4789

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3421 W Davis St Ste 220
Conroe, TX 77304-1846

Mailing address

3421 W Davis St Ste 220
Conroe, TX 77304-1846
Phone (936) 600-5552

Other names 1

  • Interim Healthcare of Conroe, Texas Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2291071Interim Healthcare of Conroe, Texas3421 W Davis St, Ste 220, Conroe, TX 77304Certificate of waiverMar 10, 2027

National Provider Directory

National Provider Directory

Locations

3421 W Davis St
Ste 220
Conroe, TX 77304
Phone (936) 600-5552

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1063297273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 W DAVIS ST STE 220",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041846",
            "telephone_number": "936-600-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 W DAVIS ST STE 220",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041846",
            "telephone_number": "936-600-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENGLIKOWSKI HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "WENGLIKOWSKI",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-202-4789",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Healthcare of Conroe, Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim Healthcare of Conroe, Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.