Organization Active NPI

Satellite Wellbound of Houston LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Houston, TX
National Provider Identifier
1295878536
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SATELLITE WELLBOUND OF HOUSTON LLC
Practice address
7505 Main St
Suite 120
Houston, TX 77030-4520
Phone
(713) 799-9344
Fax
(713) 795-0574
NPI assigned
Feb 15, 2007
Organization subpart
Yes
Parent organization
WELLBOUND LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Authorized official

Name
Susan L Del Bene
Title
Secretary/Cfo
Phone
(650) 404-3618

Specialties & licenses 1

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

Addresses

Primary practice location

7505 Main St
Suite 120
Houston, TX 77030-4520

Mailing address

300 Santana Row
Suite 300
San Jose, CA 95128-2423
Phone (650) 404-3655

Other identifiers 2

IdentifierTypeStateIssuer
8556OtherTXSTATE OF TEXAS
2158339-01MedicaidTX

National Provider Directory

National Provider Directory
Part of
Wellbound LLC

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1295878536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SANTANA ROW",
            "address_2": "SUITE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282423",
            "telephone_number": "650-404-3655",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 MAIN ST",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304520",
            "telephone_number": "713-799-9344",
            "fax_number": "713-795-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE WELLBOUND OF HOUSTON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLBOUND LLC",
        "enumeration_date": "2007-02-15",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "DEL BENE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY/CFO",
        "authorized_official_telephone_number": "650-404-3618"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TEXAS",
            "identifier": "8556",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2158339-01",
            "state": "TX"
        }
    ],
    "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 Dec 30, 2016; 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.