SOUTH TEXAS HOME HEMODIALYSIS LLC (NPI# 1841705217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841705217 |
| Entity Type | Organization |
| Organization Name | SOUTH TEXAS HOME HEMODIALYSIS LLC |
| Practice Address |
3571 W Wheatland Rd Dallas TX 75237-3461 |
| Practice Telephone | 2143311112 |
| Mailing Telephone | 2143311112 |
| Mailing Fax Number | 2143311115 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |
| Authorized Official Name | ABHAY MANGLIK (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2143311112 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LIBERTY AT HOME DIALYSIS, LLC | 1821477415 | 01 |
| Street Address |
3571 W WHEATLAND RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75237-3461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710986013 | Latha Velusamy | Internal Medicine | 3571 W Wheatland Rd, Ste 101, Dallas, TX 75237-3461 | 2005-07-19 |
| 1295115251 | Gdc Partners, LLC | Clinic/Center | 3571 W Wheatland Rd, Suite 101, Dallas, TX 75237-3461 | 2015-06-04 |
| 1134465206 | Ddc Partners, LLC | Clinic/Center | 3571 W Wheatland Rd, Dallas, TX 75237-3461 | 2012-12-18 |
| 1982916862 | Silvi M Simon | Internal Medicine | 3571 W Wheatland Rd, Suite 101, Dallas, TX 75237-3461 | 2010-07-08 |
| 1376877191 | Phuong Minh Truong | Internal Medicine | 3571 W Wheatland Rd, Suite 101, Dallas, TX 75237-3461 | 2009-09-25 |
| 1851556864 | Leonard Goldenstein | Internal Medicine | 3571 W Wheatland Rd, Suite 101, Dallas, TX 75237-3461 | 2008-07-20 |
| 1467611582 | Hoang-lan Nguyen | Internal Medicine | 3571 W Wheatland Rd, Ste. 101, Dallas, TX 75237-3461 | 2008-06-04 |
| 1114102282 | Piyush Lohiya | Internal Medicine | 3571 W Wheatland Rd, Ste 101, Dallas, TX 75237-3461 | 2008-01-08 |
| 1912191545 | Muhammad Kashif Chaudhry | Internal Medicine | 3571 W Wheatland Rd, Suite 101, Dallas, TX 75237-3461 | 2007-08-27 |
| 1487859823 | Ammar Ansarul Haque | Internal Medicine | 3571 W Wheatland Rd, Suite 101, Dallas, TX 75237-3461 | 2007-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223372 | Advanced Medical Services Associates, LLC | Clinic/Center | Advanced Urgent Care Center, 3690 W Wheatland Rd, Suite 150, Dallas, TX 75237 | 2020-10-20 |
| 1225520455 | Ethan William Gingras | Nurse Practitioner | 39769 I-20, Dallas, TX 75237 | 2018-06-04 |
| 1376031450 | Maria North | Student in an Organized Health Care Education/Training Program | Methodist Charlton Medical Center, 3500 W. Wheatland Road, Dallas, TX 75237 | 2018-04-25 |
| 1639671118 | Arquimedes Hernandez Perez | Registered Nurse | 6010 S Westmoreland Rd 423, Dallas, TX 75237 | 2018-03-01 |
| 1275055832 | Tanaka Transport | Non-emergency Medical Transport (VAN) | 4353 Gannon Ln Ste 103-a, Dallas, TX 75237 | 2017-07-14 |
| 1730620543 | Joshua Vong | Physical Therapist | 3107 W. Camp Wisdom Road Suite 131, Dallas, TX 75237 | 2017-03-13 |
| 1821537507 | Votka Sbong | Chiropractor | 2525 W. Wheatland Rd. Ste 230, Dallas, TX 75237 | 2017-02-15 |
| 1508304957 | Archana Srivastava Md Pa | Internal Medicine | 4305 W. Wheatland Road, Suite 130, Dallas, TX 75237 | 2017-02-06 |
| 1295272045 | Stafford Family Enterprises LLC | Dentist | 3306 West Camp Wisdom, Suite 100, Dallas, TX 75237 | 2017-01-31 |
| 1891170585 | Philip James Tyler | Chiropractor | 7125 Marvin D Love Fwy Ste 107, Dallas, TX 75237 | 2015-07-23 |
| Find all providers in zip 75237 | ||||
| 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 |
|---|---|---|---|---|
| 1578190567 | Bio Medical Applications of Texas | Clinic/Center | 6010 Forest Park Rd Ste 100, Dallas, TX 75235-6408 | 2020-03-27 |
| 1619508728 | Dallas County Hospital District | Clinic/Center | 4201 Brook Spring Dr Bldg 2, Dallas, TX 75224-4968 | 2020-01-28 |
| 1891254371 | Usrc Royal Central, LLC | Clinic/Center | 11343 N Central Expy, Dallas, TX 75243-6703 | 2019-03-14 |
| 1215405030 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 112 Village Walk, Dallas, GA 30132-5576 | 2018-11-09 |
| 1467920546 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1510 Lower Dallas Hwy, Dallas, NC 28034-9474 | 2018-11-07 |
| 1831681824 | Usrc East Dallas, LLC | Clinic/Center | 11255 Garland Rd Ste 1160, Dallas, TX 75218-2573 | 2018-06-05 |
| 1255835286 | Ashdow Dialysis LLC | Clinic/Center | 4405 Ross Ave, Dallas, TX 75204-5013 | 2018-03-23 |
| 1497128292 | Greater Irving II Regional Dialysis Center LLC | Clinic/Center | 1070 N Westmoreland Rd, Dallas, TX 75211-2444 | 2015-11-03 |
| 1053797704 | Crowder Dialysis LLC | Clinic/Center | 13340 Preston Rd, Dallas, TX 75240-5287 | 2015-08-05 |
| 1467852186 | Gadc LLC | Clinic/Center | 3417 Gaston Ave Ste 180, Dallas, TX 75246-2016 | 2014-08-29 |
| Find all providers in DALLAS | ||||
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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.