Organization Active NPI

Simply Kidney Care, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Katy, TX
National Provider Identifier
1568037349
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SIMPLY KIDNEY CARE, LLC
Practice address
21925 Franz Rd Ste 401
Katy, TX 77449-3723
Phone
(346) 307-7767
Fax
(346) 307-4849
NPI assigned
May 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Bonaventura Rose Celestine, LBSW
Title
Administrator
Phone
(346) 307-7767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 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
Phone (346) 307-7767

Other practice location 1

21925 Franz Rd Ste 401
Katy, TX 77449-3723
Phone (346) 307-7767

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1568037349",
    "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",
            "telephone_number": "346-307-7767",
            "fax_number": "346-307-4849"
        },
        {
            "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": "346-307-7767",
            "fax_number": "346-307-4849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21925 Franz Rd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774493723",
            "country_code": "US",
            "telephone_number": "346-307-7767",
            "fax_number": "346-307-7849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIMPLY KIDNEY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "CELESTINE",
        "authorized_official_first_name": "BONAVENTURA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "346-307-7767",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 24, 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.