Active NPI
Satellite Healthcare Chickasaw Gardens LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Memphis, TN
National Provider Identifier
1427469634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- SATELLITE HEALTHCARE CHICKASAW GARDENS LLC
- Practice address
- 2980 Poplar Avenue
Memphis, TN 38111-5637 - Phone
- (901) 531-8850
- Fax
- (650) 625-6477
- NPI assigned
- May 12, 2014
- Organization subpart
- Yes
- Parent organization
- SATELLITE HEALTHCARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas L Weinberg
- Title
- Chairman
- Phone
- (214) 736-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
2980 Poplar Avenue
Memphis, TN 38111-5637
Mailing address
300 Santana Row
Suite 300
San Jose, CA 95128-2423
Phone (901) 531-8850
Other names 1
- Satellite Healthcare Chickasaw Gardens
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141106001145 | TN | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 2567684566 | Practice locations: Memphis, TN |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- SHC Chickasaw Gardens
- Overall star rating
- Ownership
- Profit
- Certified
- Dec 16, 2015
- Medicare certification status
- Active
- Chain
- Satellite Healthcare
- Dialysis stations
- 25
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider Directory- Part of
- Satellite Laboratory SE
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jamestown, CA
- NPI 1649241720
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Jose, CA
- NPI 1548232572
Member Of
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Student in an Organized Health Care Education/Training Program
- Memphis, TN
- NPI 1851510143
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714608000000",
"number": "1427469634",
"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": "901-531-8850",
"fax_number": "650-625-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2980 POPLAR AVENUE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381115637",
"telephone_number": "901-531-8850",
"fax_number": "650-625-6477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SATELLITE HEALTHCARE CHICKASAW GARDENS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SATELLITE HEALTHCARE INC",
"enumeration_date": "2014-05-12",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "214-736-2700"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Satellite Healthcare Chickasaw Gardens",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Satellite Healthcare Chickasaw Gardens",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.