ISD CORPUS CHRISTI LLC (NPI# 1093998940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093998940 |
| Entity Type | Organization |
| Organization Name | ISD CORPUS CHRISTI LLC |
| Other Organization Name | GREENWOOD HOLLY RENAL CENTER |
| Practice Address |
1533 Holly Rd Corpus Christi TX 78417-2010 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 3618507300 |
| Practice Fax Number | 3618507305 |
| Mailing Telephone | 6153416764 |
| Mailing Fax Number | 8337816999 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2019-05-21 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
008662 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2117814-01 | 05 |
| Other Name | Type Code |
|---|---|
| Greenwood Holly Renal Center | Doing Business As Name - Organization |
| Street Address |
1533 HOLLY RD |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78417-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104885086 | Jo S Koepsel | Nurse Practitioner | 5440 Old Brownsville Rd., Corpus Christi, TX 78417 | 2006-03-21 |
| 1265495683 | Joseph E Whitfield Sr. | Physician Assistant | 5440 Old Brownsville Rd., Corpus Christi, TX 78417 | 2006-04-07 |
| 1649688573 | Carmen Sarabia | Nurse Practitioner | 1605 Triple Crown Dr, Corpus Christi, TX 78417-3110 | 2014-07-23 |
| 1073012019 | Olivia Guerrero | Behavior Technician | 2230 Saratoga Blvd Ste 1800, Corpus Christi, TX 78417-3400 | 2018-02-05 |
| 1255873576 | Cecilia Tapia | Behavioral Analyst | 2230 Saratoga Blvd, Corpus Christi, TX 78417-3400 | 2016-11-17 |
| 1558976829 | Savannah Gutierrez | Behavioral Analyst | 2230 Saratoga Blvd, Corpus Christi, TX 78417-3400 | 2020-09-13 |
| 1538774237 | Caitlyn Webb Hill | Behavioral Analyst | 2230 Saratoga Blvd, Corpus Christi, TX 78417-3400 | 2020-09-10 |
| 1114530102 | Maira Alexandra Bonilla | Behavior Technician | 2230 Saratoga Blvd, Corpus Christi, TX 78417-3400 | 2020-08-28 |
| 1619516473 | Anjelica Lissette Trejo | Behavior Technician | 2230 Saratoga Blvd, Corpus Christi, TX 78417-3400 | 2019-12-26 |
| 1366089948 | Catherine Gabbert | Behavior Technician | 2230 Saratoga Blvd, Corpus Christi, TX 78417-3400 | 2019-12-03 |
| Find all providers in zip 78417 | ||||
| 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 |
|---|---|---|---|---|
| 1871055368 | Fresenius Medical Care King's Crossing, LLC | Clinic/Center | 5834 Yorktown Blvd, Corpus Christi, TX 78414-5301 | 2019-04-03 |
| 1962964452 | Fresenius Medical Care Corpus Christi Home, LLC | Clinic/Center | 5842 Yorktown Blvd, Corpus Christi, TX 78414 | 2019-04-03 |
| 1003383902 | Fresenius Medical Care Corpus Christi Bayside, LLC | Clinic/Center | 1121 3rd St, Corpus Christi, TX 78404-2311 | 2018-10-29 |
| 1003346792 | Gilwards Dialysis LLC | Clinic/Center | 6018 Parkway Dr, Corpus Christi, TX 78414-2488 | 2017-06-14 |
| 1316221971 | Dialysis Newco Inc | Clinic/Center | 7502 South Padre Island Drive, Corpus Christi, TX 78412-4308 | 2011-09-30 |
| 1770782393 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 6017 Parkway Dr, Corpus Christi, TX 78414-2456 | 2007-07-13 |
| 1609966100 | Dialysis Management Corporation | Clinic/Center | 1647 S Alameda St, Corpus Christi, TX 78404-3110 | 2006-10-13 |
| 1255443131 | Dialysis Management Corporation | Clinic/Center | 4112 S Staples St, Suite Ab, Corpus Christi, TX 78411-2109 | 2006-08-31 |
| 1174635056 | Renal Care Group Texas, Inc. | Clinic/Center | 4147 Five Points Rd Ste G, Corpus Christi, TX 78410-4541 | 2006-08-31 |
| 1861448276 | Isd Renal Inc | Clinic/Center | 2222 S Morgan Ave, Ste 104, Corpus Christi, TX 78405-1992 | 2006-05-26 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78417 |
Please comment or provide details below to improve the information on ISD CORPUS CHRISTI LLC.
| 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.