Active NPI
Satellite Wellbound of Houston LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Houston, TX
National Provider Identifier
1295878536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8556 | Other | TX | STATE OF TEXAS |
| 2158339-01 | Medicaid | TX |
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.