Organization Active NPI

Renalspa Dialysis LLC

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1083318760
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RENALSPA DIALYSIS LLC
Practice address
7737 Beechnut St Ste 101
Houston, TX 77074-3109
Phone
(346) 388-0656
Fax
(713) 861-7502
NPI assigned
Mar 28, 2023
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shonta Williams
Title
Coo
Phone
(346) 388-0656

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU
Dialysis Equipment & Supplies (DME) 332BD1200X NU

Addresses

Primary practice location

7737 Beechnut St Ste 101
Houston, TX 77074-3109

Mailing address

7737 Beechnut St Ste 101
Houston, TX 77074-3109
Phone (713) 861-7500

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2296620Renalspa Dialysis LLC7737 Beechnut Street, Suite 101, Houston, TX 77074Certificate of waiverJan 2, 2028

National Provider Directory

National Provider Directory

Locations

7737 Beechnut St
Ste 101
Houston, TX 77074
Phone (346) 388-0656

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1083318760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 BEECHNUT ST STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770743109",
            "telephone_number": "713-861-7500",
            "fax_number": "713-861-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 BEECHNUT ST STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770743109",
            "telephone_number": "346-388-0656",
            "fax_number": "713-861-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENALSPA DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHONTA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "346-388-0656"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.