FIVE STAR DIALYSIS, LLC (NPI# 1164834099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164834099 |
Entity Type | Organization |
Organization Name | FIVE STAR DIALYSIS, LLC |
Other Organization Name | FIVE STAR HOME DIALYSIS |
Practice Address |
3327 S Sam Houston Pkwy E Ste 200b Houston TX 77047-6549 |
Mailing Address |
11021 Shadow Creek Pkwy Ste 121-300 Pearland TX 77584-7401 |
Practice Telephone | 7134361811 |
Practice Fax Number | 2815068751 |
Mailing Telephone | 7134361811 |
Mailing Fax Number | 2815068751 |
Enumeration Date | 2014-05-27 |
Last Update Date | 2020-11-03 |
Authorized Official Name | EDUARDO E GERALDO (ADMINISTRATOR / CFO) |
Authorized Official Telephone | 7134361811 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251F00000X | Home Infusion | Agencies | ||
N | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
Suppliers | ||
Y | 251E00000X | Home Health | TX | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | LICENSED HCSSA | 016415 | 01 |
Other Name | Type Code |
---|---|
Five Star Home Dialysis | Doing Business As Name - Organization |
Five Star Home Dialysis | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922459189 | Five Star Dialysis, LLC | Home Health | 3327 S Sam Houston Pkwy E Ste 200b, Houston, TX 77047-6549 | 2016-06-28 |
Street Address |
3327 S SAM HOUSTON PKWY E STE 200B |
City | HOUSTON |
State | TX |
Zip Code | 77047-6549 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922459189 | Five Star Dialysis, LLC | Home Health | 3327 S Sam Houston Pkwy E Ste 200b, Houston, TX 77047-6549 | 2016-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528693827 | Gloss Dental | Dentist | 1416 W Orem Dr, Houston, TX 77047 | 2020-03-06 |
1093347486 | Kayla A Johnson | Nurse Practitioner | 1540 Summer City Dr, Houston, TX 77047 | 2020-02-04 |
1548802432 | Patsy Ward | Technician | 12707 Claygate Dr., Houston, TX 77047 | 2019-10-11 |
1245895242 | Chinedu Nwabuona | Pharmacist | 12627 City Village Lane, Houston, TX 77047 | 2019-05-06 |
1417422866 | Adetola Adeosun | Occupational Therapist | 11931 Harristown Dr, Houston, TX 77047 | 2018-10-11 |
1730694787 | City Park Care Center, LLC | Skilled Nursing Facility | 12262 Cityscape Avenue, Houston, TX 77047 | 2017-12-12 |
1033591151 | Latina Baxter | Doula | 2814 Trinity Glen Ln., Houston, TX 77047 | 2015-06-25 |
1114336807 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 10200 Cullen Blvd, Houston, TX 77047 | 2014-08-06 |
1871915363 | Latoya Mitchell | Speech-Language Pathologist | 3027 Westwood Manor Lane, Houston, TX 77047 | 2014-01-17 |
1801227665 | Rediate Negash | Nurse Practitioner | 3550 Swingle Rd Ms Bcm 700, Houston, TX 77047 | 2013-12-04 |
Find all providers in zip 77047 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063011963 | Diamond Billing & Consulting Services LLC | Home Health | 6607 Navidad Rd, Houston, TX 77083-1063 | 2020-10-21 |
1205434032 | Preferred Healthcare Services LLC | Home Health | 5500 Sampson St Apt 5207, Houston, TX 77004-7884 | 2020-10-14 |
1699372425 | Concierge Clinicians of Houston, LLC | Home Health | 427 W 20th St Ste 611, Houston, TX 77008-2432 | 2020-10-05 |
1336756113 | Shameka Meeks | Home Health | 8701 Town Park Dr Apt 3130, Houston, TX 77036-2625 | 2020-09-25 |
1083220719 | Ernemelv Healthcare Inc | Home Health | 9001 S Braeswood Blvd Apt 1816, Houston, TX 77074-2333 | 2020-09-18 |
1013522168 | Lermim Home Care LLC | Home Health | 8788 Hammerly Blvd Ste I-1, Houston, TX 77080-6662 | 2020-09-14 |
1396350104 | Elora Healthcare Services LLC Inc | Home Health | 12631 Miriam Ln, Houston, TX 77071 | 2020-09-09 |
1164033312 | Angel of Mercy Villa LLC | Home Health | 8700 Commerce Park Dr Ste 253, Houston, TX 77036-7432 | 2020-08-12 |
1063021400 | Jmk Home Care Solutions | Home Health | 9555 W Sam Houston Pkwy S Ste 410, Houston, TX 77099-2168 | 2020-07-30 |
1972112621 | Souls of Nursing Inc | Home Health | 10201 Buffalo Speedway Apt 1203, Houston, TX 77054-2543 | 2020-07-29 |
Find all providers in HOUSTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.