Healthcare Provider Details

I. General information

NPI: 1952294662
Provider Name (Legal Business Name): WRENS NEST CARE HOMES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2025
Last Update Date: 05/31/2025
Certification Date: 05/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10738 PAULWOOD DR
HOUSTON TX
77071-1602
US

IV. Provider business mailing address

10738 PAULWOOD DR
HOUSTON TX
77071-1602
US

V. Phone/Fax

Practice location:
  • Phone: 510-798-0153
  • Fax: 713-893-6717
Mailing address:
  • Phone: 510-798-0153
  • Fax: 713-893-6717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: KIA WREN
Title or Position: OWNER
Credential: LVN
Phone: 510-798-0153