LIFEALYSIS KIDNEY CARE, LLC (NPI# 1184117103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184117103 |
| Entity Type | Organization |
| Organization Name | LIFEALYSIS KIDNEY CARE, LLC |
| Other Organization Name | ONE ON ONE KIDNEY CARE |
| Practice Address |
4300 Fairmont Pkwy Ste 100 Pasadena TX 77504 |
| Mailing Address |
4300 Fairmont Pkwy Ste 100 Pasadena TX 77504-3306 |
| Practice Telephone | 8326178816 |
| Practice Fax Number | 7135135394 |
| Mailing Telephone | 8326178816 |
| Mailing Fax Number | 7135135394 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | ALAN COMPLE (FACILITY ADMINISTRATOR) |
| Authorized Official Telephone | 7135693961 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | ESRD LICENSE | 110508 | 01 |
| TX | NOVITAS | 1976747 | 01 |
| Other Name | Type Code |
|---|---|
| ONE ON ONE KIDNEY CARE | Doing Business As Name - Organization |
| Street Address |
4300 FAIRMONT PKWY STE 100 |
| City | PASADENA |
| State | TX |
| Zip Code | 77504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038503 | Alan Comple | Registered Nurse | 4300 Fairmont Pkwy Ste 100, Pasadena, TX 77504-3306 | 2020-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316408149 | Caitlin Demi Valverde | Nurse Practitioner | 3412 Burke Rd Ste 100, Pasadena, TX 77504 | 2019-03-26 |
| 1780164475 | Erin Osmus | Physical Therapist | 3434 Watter, Pasadena, TX 77504 | 2018-08-21 |
| 1477044253 | Karen Colleen Watkins | Registered Nurse | 3332 Plainview Drive, Pasadena, TX 77504 | 2018-05-28 |
| 1619465192 | Morgan Pharmacy | Pharmacy | 3316 Shaver St Ste 6, Pasadena, TX 77504 | 2018-04-30 |
| 1528566890 | Assured Imaging Women's Wellness of Southern Arizona, LLC | Clinic/Center | 4008 Vista Rd. Bldg B Suite B101, Pasadena, TX 77504 | 2018-01-31 |
| 1972015022 | Oasis Mind and Body | Psychiatry & Neurology | 3301 Plainview, 1, Pasadena, TX 77504 | 2017-10-30 |
| 1629503933 | Inner City Podiatry Professional Limited Liability Company | Podiatrist | 3801 Vista Rd Ste 180, Pasadena, TX 77504 | 2017-04-24 |
| 1063952943 | Irfan Jawed Md Pllc | Internal Medicine | 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 | 2017-02-27 |
| 1669911707 | Quetzalli Zavala | Nurse Practitioner | 3326 Watters Rd Bldg B, Pasadena, TX 77504 | 2017-02-22 |
| 1417368929 | Jessica Charlene Engstrom | Specialist/Technologist | 14515 Briarhills Parkway, Houston, TX 77504 | 2014-05-19 |
| Find all providers in zip 77504 | ||||
| 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 |
|---|---|---|---|---|
| 1740757962 | Fresenius Medical Care Greater Southeast Houston, LLC | Clinic/Center | 5040 Crenshaw Rd Ste 200, Pasadena, TX 77505-3047 | 2018-10-25 |
| 1467941534 | Kinnick Dialysis LLC | Clinic/Center | 1382 Locust St, Pasadena, CA 91106-1515 | 2018-05-04 |
| 1487105920 | Space City Dialysis Pasadena - Dsi, LLC | Clinic/Center | 3402 Burke Rd, Pasadena, TX 77504-1805 | 2016-10-19 |
| 1073069811 | Sng - Pasadena Dialysis Center Lp | Clinic/Center | 5040 Crenshaw Rd, Ste 200, Pasadena, TX 77505 | 2016-08-31 |
| 1497101463 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 1210 Southmore Ave, Pasadena, TX 77502-1206 | 2016-05-10 |
| 1457742678 | Shetek Dialysis LLC | Clinic/Center | 390 S Fair Oaks Ave, Ste 120, Pasadena, CA 91105-2540 | 2015-02-10 |
| 1740554773 | Liberty Dialysis - Pasadena, LLC | Clinic/Center | 757 S Raymond Ave, Suite 100, Pasadena, CA 91105-3250 | 2012-03-08 |
| 1689948762 | C&h Solutions | Clinic/Center | 1165 Medford Rd, Pasadena, CA 91107-1703 | 2012-03-07 |
| 1760624092 | Arcadia Gardens Dialysis LLC | Clinic/Center | 3722 E Colorado Blvd, Pasadena, CA 91107-3872 | 2009-04-01 |
| 1447362330 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 4901 E Sam Houston Pkwy S, Pasadena, TX 77505-1520 | 2006-08-31 |
| Find all providers in PASADENA | ||||
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| 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.