Organization Active NPI

Wysteria Walk Investments LLC

  • In Home Supportive Care Agency
  • Tomball, TX
National Provider Identifier
1912619933
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WYSTERIA WALK INVESTMENTS LLC
Practice address
14011 Park Dr Ste 205
Tomball, TX 77377-6289
Phone
(832) 380-8265
NPI assigned
Dec 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Daniel Schrupp
Title
President
Phone
(832) 380-8265

Specialties & licenses 2

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

Addresses

Primary practice location

14011 Park Dr Ste 205
Tomball, TX 77377-6289

Mailing address

14011 Park Dr Ste 205
Tomball, TX 77377-6289
Phone (832) 380-8265

Other names 1

  • FirstLight Home Care of the Woodlands Doing business as

National Provider Directory

National Provider Directory

Locations

14011 Park Dr
Ste 205
Tomball, TX 77377
Phone (832) 380-8265

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1912619933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14011 PARK DR STE 205",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773776289",
            "telephone_number": "832-380-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14011 PARK DR STE 205",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773776289",
            "telephone_number": "832-380-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYSTERIA WALK INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "SCHRUPP",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-380-8265"
    },
    "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": "FirstLight Home Care of the Woodlands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.