Organization Active NPI

Kollers Wings

  • In Home Supportive Care Agency
  • Lumberton, TX
National Provider Identifier
1528811155
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KOLLERS WINGS
Practice address
10554 Cooks Lake Rd
Lumberton, TX 77657-7453
Phone
(409) 227-4757
Fax
(409) 750-7677
NPI assigned
Apr 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Vickie Smith, CRCNPI 1982253985
Title
Owner/Manager
Phone
(409) 227-4757

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

10554 Cooks Lake Rd
Lumberton, TX 77657-7453

Mailing address

10554 Cooks Lake Rd
Lumberton, TX 77657-7453
Phone (409) 227-4757

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kollerswings@gmail.com Health Information Exchange (HIE)

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": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1528811155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10554 COOKS LAKE RD",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577453",
            "telephone_number": "409-227-4757",
            "fax_number": "409-750-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10554 COOKS LAKE RD",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577453",
            "telephone_number": "409-227-4757",
            "fax_number": "409-750-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOLLERS WINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "409-227-4757",
        "authorized_official_credential": "CRC"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kollerswings@gmail.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10554 Cooks Lake Rd",
            "city": "Lumberton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "776577453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lumberton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.