Organization Active NPI

Reberth Dialysis LLC

  • Home Health Agency
  • Tomball, TX
National Provider Identifier
1386491306
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REBERTH DIALYSIS LLC
Practice address
18207 N Eldridge Pkwy Unit A5
Tomball, TX 77377-8169
Phone
(713) 261-0441
Fax
(210) 830-9385
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Kenyon HadleyNPI 1649037110
Title
Ceo
Phone
(713) 261-0441

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X
Nursing Care Agency 251J00000X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Durable Medical Equipment & Medical Supplies 332B00000X
Dialysis Equipment & Supplies (DME) 332BD1200X

Addresses

Primary practice location

18207 N Eldridge Pkwy Unit A5
Tomball, TX 77377-8169

Mailing address

18207 N Eldridge Pkwy Unit A5
Tomball, TX 77377-8169
Phone (713) 261-0441

National Provider Directory

National Provider Directory

Locations

18207 N Eldridge Pkwy
Unit A5
Tomball, TX 77377
Phone (713) 261-0441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1386491306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18207 N ELDRIDGE PKWY UNIT A5",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773778169",
            "telephone_number": "713-261-0441",
            "fax_number": "210-830-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18207 N ELDRIDGE PKWY UNIT A5",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773778169",
            "telephone_number": "713-261-0441",
            "fax_number": "210-830-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBERTH DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "KENYON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-261-0441"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.