Sandcastle Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

006484 Issued in TX

Legal business name

SANDCASTLE DIALYSIS LLC

Practice address

8900 Emmett F Lowry Expy
Suite 201
Texas City, TX 77591-9119

Phone

(409) 933-0406

Fax

(409) 933-0503

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mary Josephine Godinich, MD PA

Title

Ceo

Phone

(409) 933-0406

Specialties & licenses 1

Addresses

Listed as

Fresenius Kidney Care Sandcastle Dialysis CenterCCN 452757

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jun 5, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Fresenius Medical Care

Dialysis stations

18

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Mary Josephine Godinich, MD

  • Nephrology Physician
  • Texas City, TX
  • NPI 1861418931

  Dialysis facility

  Care Compare affiliation Name & address match
• Justin David Merszei, MD

  • Nephrology Physician
  • Houston, TX
  • NPI 1649252529

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336174986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 EMMETT F LOWRY EXPY",
            "address_2": "SUITE 201",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775919119",
            "telephone_number": "409-933-0406",
            "fax_number": "409-933-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 EMMETT F LOWRY EXPY",
            "address_2": "SUITE 201",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775919119",
            "telephone_number": "409-933-0406",
            "fax_number": "409-933-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDCASTLE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GODINICH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JOSEPHINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-933-0406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "006484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matt Sager, DDS
• Salvation Healthcare Services, Inc.
• Sam'S Club Optical
• Delisa Samuels, OTR
• Amanda Sanchez, BCBA,LBA
• Sara E Iranpour OD PLLC
• Shauntrell Bias Sarvaunt, DNP, APRN, FNP-C
• Jack Allan Sasiene, DPM
• Kenzie Kaye Scheets
• Elisabeth Joan Schmalstieg, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas City, TX
• Providers in Texas City, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.