Organization Active NPI

Simply Dialysis and Home Health LLC

  • Home Health Agency
  • Katy, TX
National Provider Identifier
1417457722
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SIMPLY DIALYSIS AND HOME HEALTH LLC
Practice address
21925 Franz Rd Ste 401
Katy, TX 77449-3723
Phone
(713) 203-8053
NPI assigned
Feb 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Ms. Bonaventura Rose Celestine, LBSW
Title
Owner
Phone
(346) 307-7767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X TX Primary

Addresses

Primary practice location

21925 Franz Rd Ste 401
Katy, TX 77449-3723

Mailing address

21925 Franz Rd Ste 401
Katy, TX 77449-3723

Other identifiers 1

IdentifierTypeStateIssuer
HH964KOtherTXBLUE CROSS BLUE SHEILD OF TEXAS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1417457722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21925 FRANZ RD STE 401",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774493723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21925 FRANZ RD STE 401",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774493723",
            "telephone_number": "713-203-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY DIALYSIS AND HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "CELESTINE",
        "authorized_official_first_name": "BONAVENTURA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-307-7767",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD OF TEXAS",
            "identifier": "HH964K",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.