Taos Home Dialysis, LLC

Primary specialty

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

Legal business name

TAOS HOME DIALYSIS, LLC

Practice address

1415 Weimer Rd
Taos, NM 87571-6383

Phone

(505) 670-3669

Fax

(505) 212-2992

NPI assigned

Jan 26, 2021

Organization subpart

No

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

Authorized official

Name

Jolyn Williams

Title

Administrator

Phone

(505) 575-9996

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Listed as

Taos Home DialysisCCN 322565

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Aug 17, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

6

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Biju Cherian, MD

  • Nephrology Physician
  • Albuquerque, NM
  • NPI 1437195369
  NPD
• Kirby D Gabrys, MD

  • Nephrology Physician
  • Albuquerque, NM
  • NPI 1134141260
  NPD

Affiliated clinicians 1

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

• Kirby D Gabrys, MD

  • Nephrology Physician
  • Albuquerque, NM
  • NPI 1134141260

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1508456229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22566",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875022566",
            "telephone_number": "575-999-6100",
            "fax_number": "575-999-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 WEIMER RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716383",
            "telephone_number": "505-670-3669",
            "fax_number": "505-212-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAOS HOME DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOLYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-575-9996"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taos Group Home, Inc.
• Taos Health Systems Inc Holy Cross
• Taos Health Systems Inc Holy Cross Hospital
• Taos Health Systems, Inc., Holy Cross Hospital
• Taos Healthcare LLC
• Taos Homebirth & Midwifery LLC
• Taos International School
• Taos Living Center, LLC
• Taos Medical Billing
• Taos Medical Group P a

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Taos, NM
• Providers in Taos, 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 Jan 13, 2023; 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.

Verify at the official NPI Registry.