Active NPI
Renalspa Dialysis LLC
- Home Health Agency
- Houston, TX
National Provider Identifier
1083318760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2296620 | Renalspa Dialysis LLC | Certificate of waiver | Jan 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
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
- Renal Treatment Centers-Southeast, LP. (Med Center at Home)
- Renal Treatment Centers-Southeast, LP.
- Renal Treatment Centers-Southeast, LP. (Gracias Dialysis)
- Renal Treatment Centers-Southeast, LP. (Med Center Dialysis)
- Renal Treatment Centers-Southeast, LP. (North Houston Dialysis Center)
- Renascence Personal Care Home LLC (Renascence Medical Transport)
- Cynthia Eileen Renaudo, LPC
- Renaviv Home LLC
- Renaxis, PLLC
- Renay's Angels Provider Care Services LLC
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.