Lone Star Home Dialysis, Inc.

Primary specialty

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

Legal business name

LONE STAR HOME DIALYSIS, INC.

Doing business as

Lone Star Home Dialysis

Practice address

16903 Red Oak Dr Ste 100B
Houston, TX 77090-3917

Phone

(362) 719-4429

Fax

(800) 395-8956

NPI assigned

Jul 12, 2016

Last updated

May 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Balbeer K Godwin, R.N

Title

Ceo, Cfo

Phone

(281) 799-7089

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lone Star Home Dialysis Doing business as

Locations

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1518319706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16903 RED OAK DR STE 100B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903917",
            "telephone_number": "936-271-9442",
            "fax_number": "800-395-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16903 RED OAK DR STE 100B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903917",
            "telephone_number": "362-719-4429",
            "fax_number": "800-395-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR HOME DIALYSIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "BALBEER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO, CFO",
        "authorized_official_telephone_number": "281-799-7089",
        "authorized_official_credential": "R.N"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "607378362",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Star Home Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lone Star Home Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lone Star Evaluations (Occucare International)
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• Lone Star First Assistant Surgical Services
• Lone Star Health Center LLC
• Lone Star Health Services, LLC
• Lone Star Home Infusion, LLC
• Lone Star Medped PLLC
• Lone Star Neuromonitoring PLLC
• Lone Star Orthopedics
• Lone Star Orthotics, Inc

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.