1. Home
  2. Directory
  3. Texas
  4. Kingwood
  5. In Home Supportive Care
  6. NPI Profile

TRAVIS M WALLER
NPI 1184093775
In Home Supportive Care in Kingwood, TX

Active since September 24, 2015
4321 KINGWOOD DR, SUITE 177, KINGWOOD, TX 77339(281) 883-6748 Get Directions Write a Review

NPPES record last updated: September 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Travis M Waller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRAVIS M WALLER (NPI 1184093775) is an individual in home supportive care provider in Kingwood, Texas and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1184093775
Entity TypeIndividualMale
Primary Taxonomy253Z00000X
Provider Legal NameTRAVIS M WALLER
Location Address4321 KINGWOOD DR, SUITE 177Kingwood, TX 77339-3700
Mailing Address4321 Kingwood Dr, Suite 177Kingwood, TX 77339-3700 · (281) 883-6748
Phone(281) 883-6748
Sole ProprietorYes
Enumeration DateSeptember 24, 2015
✔ NPI 1184093775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
4321 KINGWOOD DR, Kingwood, TX 77339
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREAT LIFE HOME CARE, LLC
In Home Supportive Care
4321 KINGWOOD DR, STE. 177
KINGWOOD, TX 77339
Harris County (281) 883-6748

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Travis Waller's NPI number?

The NPI number for Travis Waller is 1184093775. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Where is Travis Waller located?

Travis Waller practices at 4321 Kingwood Dr Suite 177, Kingwood, TX 77339. The listed phone number is (281) 883-6748.

What is Travis Waller's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Travis Waller was last updated on September 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.