Memorial Hermann Health System
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Houston, TX
NPI 1063448124 · NPPES record last updated Jun 25, 2014
Key facts
- NPI
- 1063448124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- License
- 00347 (TX)
- Legal business name
- MEMORIAL HERMANN HEALTH SYSTEM
- Practice address
- 6411 Fannin St
Houston, TX 77030-1501 - Phone
- (713) 704-6614
- Fax
- (713) 704-4798
- NPI assigned
- Jun 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Dennis Laraway
- Title
- Cfo
- Phone
- (713) 242-2707
Owned or controlled facilities with NPI records 27
Other NPIs with the same Medicare PAC ID 12
Corporate family (same tax ID) 13
Medicare Care Compare: Dialysis facility
- Listed as
- Children'S Memorial Hermann Dialysis Center
- Ownership
- Non-profit
- Certified
- Apr 1, 1977
- Medicare certification status
- Active
- Chain
- Memorial Hermann Healthcare System
- Dialysis stations
- 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
All facility ownership & control disclosures 14
| Facility | Type | Role | Since |
|---|---|---|---|
| Memorial Hermann Sugar Land Hospital |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control (100%) |
Jan 1, 2013 Jan 1, 2013 |
| Memorial Hermann Katy Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 2001 Jul 1, 2001 |
| Memorial Hermann Northeast Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2007 Jan 1, 2007 |
| Memorial Hermann Memorial City Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2010 Jan 1, 2013 |
| Memorial Hermann Texas Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2013 Jan 1, 2013 |
| Memorial Hermann Texas Medical Center Rehabilitation Unit |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2013 Jan 1, 2013 |
| Memorial Hermann Hospital System |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2013 Jan 1, 2013 |
| Memorial Hermann Hospital System Rehabilitation Unit |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control (100%) |
Jan 1, 2013 Jan 1, 2013 |
| Memorial Hermann Rehabilitation Hospital Katy |
Hospital | 5% Or Greater Indirect Ownership Interest | Apr 1, 2009 |
| Tirr Memorial Hermann |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2013 Jan 1, 2013 |
| Accentcare Home Health of Houston - North, LLC |
Home health agency | 5% Or Greater Indirect Ownership Interest (40%) | Apr 1, 2023 |
| Accentcare Home Health of Houston - South, LLC |
Home health agency | 5% Or Greater Indirect Ownership Interest (40%) | Apr 1, 2023 |
| Accentcare Hospice & Palliative Care of Houston - South, LLC |
Hospice | 5% Or Greater Indirect Ownership Interest (40%) | Apr 1, 2023 |
| Accentcare Hospice & Palliative Care of Houston - North, LLC |
Hospice | 5% Or Greater Indirect Ownership Interest (40%) | Apr 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030716000015 | TX | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 1759292683 | Practice locations: Houston, TX |
National Provider Directory
- Tax ID family
- Geriatric Resource Cent
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 00347 | TX | Yes |
Addresses
Primary practice location
6411 Fannin St
Houston, TX 77030-1501
Mailing address
PO Box 301208
Dallas, TX 75303-1208
Phone (713) 338-4127
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137805112 | Medicaid | TX |
Other names
- Children's Memorial Hermann Dialysis Center
Other providers in Houston, TX
- Memorial Hermann Continuing Care Corporation
- Memorial Hermann Counseling Center
- Memorial Hermann Endoscopy & Surgery Center North Houston, LLC
- Memorial Hermann Endoscopy Center North Freeway LLC
- Memorial Hermann Health System
- Memorial Hermann Health System
- Memorial Hermann Health System
- Memorial Hermann Health System
- Memorial Hermann Health System
- Memorial Hermann Health System
All providers in Houston, TX · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.