TAOS HOME DIALYSIS LLC NPI 1508456229

NPI Information

NPI: 1508456229
Provider Name: TAOS HOME DIALYSIS, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 32D2232197

Address:
1415 WEIMER RD
TAOS, NM
ZIP 87571
Phone: (505) 670-3669
Get Directions

TAOS HOME DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Taos, NM. TAOS HOME DIALYSIS, LLC NPI is 1508456229. The provider is registered as an organization entity type.

The provider's business location address is:

1415 WEIMER RD
TAOS, NM
ZIP 87571-383
Phone: (505) 670-3669
Fax: (505) 212-2992

The provider's authorized official is Jolyn Williams .
The authorized official title is Administrator and has the following contact phone number (505) 670-3669.

The CLIA number assigned to this NPI record is 32D2232197 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2021 and was last updated on 1/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »