QUALITY DIALYSIS ONE LLC NPI 1649275504

NPI Information

NPI: 1649275504
Provider Name: QUALITY DIALYSIS ONE, LLC
Classification: Home Infusion - 251F00000X
Entity Type: Organization

CLIA Number: 45D0932249

Address:
13311 PIKE RD STE E
STAFFORD, TX
ZIP 77477
Phone: (281) 491-4009
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QUALITY DIALYSIS ONE, LLC is a home infusion in Stafford, TX. QUALITY DIALYSIS ONE, LLC NPI is 1649275504. The provider is registered as an organization entity type.

The provider's business location address is:

13311 PIKE RD STE E
STAFFORD, TX
ZIP 77477-111
Phone: (281) 491-4009
Fax: (866) 557-4844

The provider's authorized official is Maria Hemenez .
The authorized official title is Administrator and has the following contact phone number (281) 491-4009.

The CLIA number assigned to this NPI record is 45D0932249 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 6/16/2018.

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	251E00000X	Home Health		005985	TEXAS	No
2	253Z00000X	In Home Supportive Care		005985	TEXAS	No
3	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	005985	TEXAS	No
4	332BD1200X	Durable Medical Equipment & Medical Supplies	Dialysis Equipment & Supplies	1001352	TEXAS	No
5	251F00000X	Home Infusion		005985	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	019455	OTHER	TEXAS	DMEPOS ACCREDIDIATION CERTIFICATION
2	0241291-01	MEDICAID	TEXAS
3	1001352	OTHER	TEXAS	TEXAS DEPARTMENT OF STATE HEALTH SERVICES-DEVICE DISTRIBUTOR
4	005985	OTHER	TEXAS	TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES HOME & SUPPORT SRVC AGENCY

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: 4/28/2024

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