LONE STAR HOME DIALYSIS, INC. (NPI# 1518319706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518319706 |
| Entity Type | Organization |
| Organization Name | LONE STAR HOME DIALYSIS, INC. |
| Other Organization Name | LONE STAR HOME DIALYSIS |
| Practice Address |
150 Pine Forest Dr Suite 102 Shenandoah TX 77384-5302 |
| Practice Telephone | 2817997089 |
| Mailing Telephone | 2817997089 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |
| Authorized Official Name | BALBEER K GODWIN (CEO, CFO) |
| Authorized Official Telephone | 2817997089 |
| Authorized Official Credential | R.N |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lone Star Home Dialysis | Doing Business As Name - Organization |
| Street Address |
150 PINE FOREST DR SUITE 102 |
| City | SHENANDOAH |
| State | TX |
| Zip Code | 77384-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629072335 | Rajnikant Kushwaha | Internal Medicine | 150 Pine Forest Dr, Suite 604, Shenandoah, TX 77384-5302 | 2005-06-09 |
| 1538675087 | The Woodlands Hearing Center, LLC | Hearing Instrument Specialist | 150 Pine Forest Dr, 603, Shenandoah, TX 77384 | 2017-12-20 |
| 1770038549 | Geriatric & Palliative Care Associates,pa | Family Medicine | 150 Pine Forest Dr, Suite 110, Shenandoah, TX 77384-5302 | 2016-08-22 |
| 1114472198 | Dewitz Family Medicine, Pllc | Family Medicine | 150 Pine Forest Dr, Suite 403, Shenandoah, TX 77384-5302 | 2016-08-19 |
| 1497105068 | Vaibhav Latthe | Dentist | 150 Pine Forest Dr, Suite 111, Shenandoah, TX 77384-5302 | 2016-06-15 |
| 1609119155 | Vaishali Arora | Physician Assistant | 150 Pine Forest Dr, Suite 110, Shenandoah, TX 77384-5302 | 2013-04-03 |
| 1326295155 | Family & Senior Medical Clinic,pa | Family Medicine | 150 Pine Forest Dr, Ste 110, Shenandoah, TX 77384-5303 | 2008-08-22 |
| 1265694285 | Kateryna Komarovskiy | Internal Medicine | 150 Pine Forest Dr, Suite 103, Shenandoah, TX 77384-5302 | 2008-06-30 |
| 1326227042 | Rajnikant Kushwaha Md Pa | Internal Medicine | 150 Pine Forest Dr, Suite 604, Shenandoah, TX 77384-5302 | 2007-10-30 |
| 1114013406 | Scott David Dewitz | Family Medicine | 150 Pine Forest Dr, Ste 403, Shenandoah, TX 77384-5302 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104381441 | Reshanda Baudy | Registered Nurse | 2477 F.m. 1488 Rd, 536, Conroe, TX 77384 | 2019-01-31 |
| 1841768447 | Alina Nichole Smith | Physical Therapist | Texas Children's Hospital - The Woodlands, 17580 Interstate 45 South, The Woodlands, TX 77384 | 2018-11-13 |
| 1952878472 | Courtney Nicole Jersey | Physician Assistant | 17600 I-45 South, Conroe, TX 77384 | 2018-11-02 |
| 1558851394 | Woodlands Integrative Care Hospital | Psychiatric Hospital | 1006 Windsor Lake Blvd., Suite 200, Conroe, TX 77384 | 2018-05-17 |
| 1326570334 | Surgeons Assistant Rita Yamel David Inc | Specialist/Technologist, Other | 3720 College Park Dr # 6304, Conroe, TX 77384 | 2017-03-29 |
| 1316483191 | Jason Cazares | Specialist/Technologist | 17450 St. Luke's Way, Medical Arts Center IIi, #350, The Woodlands, TX 77384 | 2017-01-17 |
| 1023564325 | 1488 Family Medicine Group, Pllc | Clinic/Center | 2400 Fm 1488, Suite 400, Conroe, TX 77384 | 2016-08-28 |
| 1740641976 | Signature Smiles Woodlands, Pllc | Clinic/Center | 2400 Fm 1488 Suite 200, Conroe, TX 77384 | 2016-03-16 |
| 1427397256 | David William White | Dentist | 3600 Farm To Market Rd 1488 #90, Conroe, TX 77384 | 2013-02-14 |
| 1740549542 | North Woods Family Medicine Pllc | Family Medicine | 17350 St.luke's Way, Suite 350, The Woodlands, TX 77384 | 2012-05-14 |
| Find all providers in zip 77384 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023410453 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 1644 Research Forest Dr Ste 150, Shenandoah, TX 77381-4396 | 2014-09-17 |
| 1194916205 | The Woodlands Dialysis Center Lp | Clinic/Center | 9301 Pinecroft Dr, Ste130, Shenandoah, TX 77380-3178 | 2007-08-05 |
| 1902873656 | Renal Treatment Centers Illinois Inc | Clinic/Center | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801931 | Usrc Mckinney, LLC | Clinic/Center | 1434 N Central Expy Ste 116, Mckinney, TX 75070-3108 | 2020-11-05 |
| 1437756772 | Usrc Bluebonnet, LLC | Clinic/Center | 1902 Windsor Pl, Ste 100, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1609473941 | Usrc Bluebonnet Home, LLC | Clinic/Center | 1902 Windsor Pl Ste 202, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1982210050 | Usrc Stephenville LLC | Clinic/Center | 942 Bluebonnet Dr, Stephenville, TX 76401-1764 | 2020-09-23 |
| 1801402979 | Usrc Garland LLC | Clinic/Center | 219 W Kingsley Rd Ste 316, Garland, TX 75041-3434 | 2020-09-23 |
| 1003422171 | Usrc Dialysis At Home West LLC | Clinic/Center | 12011 State Highway 151 Ste 222, San Antonio, TX 78251-1230 | 2020-09-23 |
| 1477165462 | Fresenius Medical Care South Lewisville, LLC | Clinic/Center | 101 E Southwest Pkwy Ste 110, Lewisville, TX 75067-8753 | 2020-08-20 |
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1891312559 | Usrc Houston Newco Home LLC | Clinic/Center | 2000 Crawford St Ste 777, Houston, TX 77002-9006 | 2020-06-29 |
| 1427671502 | Usrc Plano Dexter, LLC | Clinic/Center | 4708 Dexter Dr, Plano, TX 75093-5288 | 2020-05-22 |
| Find all providers with the same taxonomy | ||||
| City | SHENANDOAH |
| Zip Code | 77384 |
Please comment or provide details below to improve the information on LONE STAR HOME DIALYSIS, INC..
| 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.