ANGELO KIDNEY CONNECTION HOME THERAPIES PLLC (NPI# 1598310179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598310179 |
| Entity Type | Organization |
| Organization Name | ANGELO KIDNEY CONNECTION HOME THERAPIES PLLC |
| Practice Address |
3626 50th St Lubbock TX 79413-3994 |
| Mailing Address |
Po Box 61074 San Angelo TX 76906-1074 |
| Practice Telephone | 3256172469 |
| Mailing Telephone | 3256172496 |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2020-07-27 |
| Authorized Official Name | MELANIE LORRAINE BAUMGARTNER (ADMINISTRATOR) |
| Authorized Official Telephone | 3254504445 |
| 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 |
Ambulatory Health Care Facilities |
| Street Address |
3626 50TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79413-3994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194987404 | Cheryl M Tyler Md Pa | Specialist | 3626 50th St, Lubbock, TX 79413-3994 | 2008-06-27 |
| 1063663789 | Amity Medical Associates Pllc | Family Medicine | 3626 50th St, Lubbock, TX 79413-3994 | 2008-10-01 |
| 1942456819 | Hugh H Wilson Jr Md Pa | Family Medicine | 3626 50th St, Lubbock, TX 79413-3994 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194226654 | Heritage Birth Center, LLC | Clinic/Center | 3410 Knoxville Ave, Lubbock, TX 79413 | 2018-02-21 |
| 1992216071 | Leah Beth Deboard | Counselor | 6906 Freemont Ave, Lubbock, TX 79413 | 2017-10-17 |
| 1003357518 | Emmy Lu Henley | Dietitian, Registered | 6520 University Ave, Suite 5, Lubbock, TX 79413 | 2017-03-16 |
| 1730635129 | Katy Rebecca-franklin Poff | Dietitian, Registered | 7008 Indiana Avenue, Suite A, Lubbock, TX 79413 | 2016-08-26 |
| 1982074340 | Katricia Collins | Speech-Language Pathologist | 3403 40th St, Lubbock, TX 79413 | 2015-09-29 |
| 1750771937 | Caprock Compounding Pharmacy Inc. | Pharmacy | 3007 50th Street, Lubbock, TX 79413 | 2015-01-27 |
| 1083010250 | Max Manley | Counselor | 3312 38th St., Lubbock, TX 79413 | 2014-11-14 |
| 1124326566 | Melissa Mccauley | Midwife | 3609 38th Street, Lubbock, TX 79413 | 2011-03-09 |
| 1619138880 | Myles Freeman Sadler | Dentist | 3315 - 64th Street, Lubbock, TX 79413 | 2008-06-20 |
| 1316121320 | Michael Daniel Gomez | Psychologist | 6610 Quaker Ave, Lubbock, TX 79413 | 2007-12-27 |
| Find all providers in zip 79413 | ||||
| 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 |
|---|---|---|---|---|
| 1801420864 | The Kidney Care Center, LLC | Clinic/Center | 3702 Interstate 27, Lubbock, TX 79412 | 2020-02-28 |
| 1235685470 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 8704 University Ave, Lubbock, TX 79423-3174 | 2016-08-28 |
| 1033559497 | Fresenius Medical Care Lubbock, LLC | Clinic/Center | 2710 Avenue Q, Lubbock, TX 79411-2446 | 2013-07-01 |
| 1649372814 | Bio Medical Applications of Texas, Inc. | Clinic/Center | C/o Lubbock Area Office, 6630 Quaker Avenue, Suite 208, Lubbock, TX 79413 | 2006-09-01 |
| 1679685564 | Bio-medical Applications of Texas Inc | Clinic/Center | 1126 Slide Rd Unit 4a, Lubbock, TX 79416-5402 | 2006-08-31 |
| 1497867378 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 6630 Quaker Ave Ste 102, Lubbock, TX 79413-5939 | 2006-08-31 |
| 1013306133 | Innovative Dialysis Center of Lubbock, LLC | Clinic/Center | 1826 Parkway Dr, Lubbock, TX 79403-4406 | 2015-01-13 |
| 1669711172 | Diablo Dialysis LLC | Clinic/Center | 1923 Marsha Sharp Fwy, #102, Lubbock, TX 79415-4036 | 2013-02-04 |
| 1518233212 | The Kidney Care Center, LLC | Clinic/Center | 1126 Slide Rd, Suite 4b, Lubbock, TX 79416-5402 | 2012-03-27 |
| 1922293703 | Rsa - South Plains, LLP | Clinic/Center | 3801 21st St, Lubbock, TX 79410-1006 | 2007-09-13 |
| Find all providers in LUBBOCK | ||||
Please comment or provide details below to improve the information on ANGELO KIDNEY CONNECTION HOME THERAPIES PLLC.
| 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.