=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669355210
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WSC ATTENDANT SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/30/2025
-----------------------------------------------------
Last Update Date | 08/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3250 WILLIAMSBURG LANE SUITE 100
-----------------------------------------------------
City | MISSOURI CITY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77459-2228
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-975-2799
-----------------------------------------------------
Fax | 281-969-7972
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3250 WILLIAMSBURG LANE SUITE 100
-----------------------------------------------------
City | MISSOURI CITY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77459-2228
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-975-2799
-----------------------------------------------------
Fax | 281-969-7972
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MRS. CHI YUK TRIEU
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 713-884-5612
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3747P1801X
-----------------------------------------------------
Taxonomy Name | Personal Care Attendant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------