Home Dialysis Services Franklin Mountains LLC

Primary specialty

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

Legal business name

HOME DIALYSIS SERVICES FRANKLIN MOUNTAINS LLC

Practice address

880 Anthony Dr
Suite 3a
Anthony, NM 88021-9346

Phone

(575) 201-3550

Fax

(815) 941-1806

NPI assigned

May 2, 2016

Organization subpart

No

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

Authorized official

Name

Morufu Alausa, MD

Title

Medical Director

Phone

(815) 741-6830

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1336594084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3877",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604343877",
            "telephone_number": "815-741-6830",
            "fax_number": "815-741-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 ANTHONY DR",
            "address_2": "SUITE 3A",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880219346",
            "telephone_number": "575-201-3550",
            "fax_number": "815-941-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME DIALYSIS SERVICES FRANKLIN MOUNTAINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "ALAUSA",
        "authorized_official_first_name": "MORUFU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "815-741-6830",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Herrera, LPCC
• Rosie Higgs
• Katherin Carol Hodet-Sar
• Adrian Xavier Holguin
• Sergio M Holguin, LMSW
• Timothy Ray Jenkins, BS
• Jorge Jimenez, LMHC
• Stephanie Johnson, LMHC
• Deserae Johnston, LMHC
• Marvel Lionel July

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Anthony, NM
• Providers in Anthony, NM by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.