Active NPI
Wysteria Walk Investments LLC
- In Home Supportive Care Agency
- Tomball, TX
National Provider Identifier
1912619933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.