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FIVE STAR DIALYSIS LLC NPI 1922459189


NPI Information

NPI: 1922459189
Provider Name: FIVE STAR DIALYSIS, LLC

Doing Business As: FIVE STAR HOME DIALYSIS

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 45D2268626

Address:
3327 S SAM HOUSTON PKWY E STE 200B
HOUSTON, TX
ZIP 77047
Phone: (713) 436-1811
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FIVE STAR DIALYSIS, LLC is a home health in Houston, TX. The provider is 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. FIVE STAR DIALYSIS, LLC NPI is 1922459189. The provider is registered as an organization entity type.
The provider Is Doing Business As Five Star Home Dialysis.

The provider's business location address is:

3327 S SAM HOUSTON PKWY E STE 200B
HOUSTON, TX
ZIP 77047-549
Phone: (713) 436-1811
Fax: (281) 506-8751

The provider's authorized official is Eduardo Geraldo .
The authorized official title is Administrator and has the following contact phone number (832) 696-0167.

The CLIA number assigned to this NPI record is 45D2268626 - other - dialysis designation with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2016 and was last updated on 9/24/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health016415TEXASYes

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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