NPIMap

Organization Active NPI

Lifealysis Kidney Care, LLC

Doing business as One on One Kidney Care

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pasadena, TX
National Provider Identifier
1184117103
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
LIFEALYSIS KIDNEY CARE, LLC
Doing business as
One on One Kidney Care
Practice address
4300 Fairmont Pkwy Ste 100
Pasadena, TX 77504
Phone
(832) 617-8816
Fax
(713) 513-5394
NPI assigned
Jun 13, 2018
Last updated
Jun 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Alan Comple, RNNPI 1063038503
Title
Facility Administrator
Phone
(713) 569-3961

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

4300 Fairmont Pkwy Ste 100
Pasadena, TX 77504

Mailing address

4300 Fairmont Pkwy Ste 100
Pasadena, TX 77504-3306
Phone (832) 617-8816

Other identifiers 2

IdentifierTypeStateIssuer
1976747OtherTXNOVITAS
110508OtherTXESRD LICENSE

Other names 1

  • ONE ON ONE KIDNEY CARE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acomple@lifealysis.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

4300 Fairmont Pkwy
Ste 100
Pasadena, TX 77504
Phone (713) 569-3961

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1184117103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 FAIRMONT PKWY STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043306",
            "telephone_number": "832-617-8816",
            "fax_number": "713-513-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 FAIRMONT PKWY STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77504",
            "telephone_number": "832-617-8816",
            "fax_number": "713-513-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEALYSIS KIDNEY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "COMPLE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "FACILITY ADMINISTRATOR",
        "authorized_official_telephone_number": "713-569-3961",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVITAS",
            "identifier": "1976747",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESRD LICENSE",
            "identifier": "110508",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acomple@lifealysis.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4300 Fairmont Pkwy Ste 100",
            "city": "Pasadena",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ONE ON ONE KIDNEY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.