Organization Active NPI

Scott & Kelly Conroe

Doing business as Comfort Keepers

  • Contractor
  • Montgomery, TX
National Provider Identifier
1578656633
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
SCOTT & KELLY CONROE
Doing business as
Comfort Keepers
Practice address
14887 Highway 105 W
Suite #205
Montgomery, TX 77356-5672
Phone
(936) 582-1235
Fax
(936) 582-1237
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Scott Wyatt
Title
Administrator/President
Phone
(361) 935-6511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Primary

Addresses

Primary practice location

14887 Highway 105 W
Suite #205
Montgomery, TX 77356-5672

Mailing address

803 Sam Houston Dr
Victoria, TX 77901-4548
Phone (361) 578-7778

Other names 1

  • Comfort Keepers Doing business as

National Provider Directory

National Provider Directory

Locations

14887 Highway 105 W
Ste 205
Montgomery, TX 77356
Phone (936) 582-1235

803 Sam Houston Dr
Victoria, TX 77901

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578656633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 SAM HOUSTON DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014548",
            "telephone_number": "361-578-7778",
            "fax_number": "361-578-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14887 HIGHWAY 105 W",
            "address_2": "SUITE #205",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565672",
            "telephone_number": "936-582-1235",
            "fax_number": "936-582-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT & KELLY CONROE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "ADMINISTRATOR/PRESIDENT",
        "authorized_official_telephone_number": "361-935-6511"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.