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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2023
- 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
- Katie Wenglikowski, RN
- Title
- Owner
- Phone
- (281) 202-4789
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2291071 | Interim Healthcare of Conroe, Texas | Certificate of waiver | Mar 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.