Lone Star Home Dialysis Limited

Primary specialty

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

Legal business name

LONE STAR HOME DIALYSIS LIMITED

Practice address

150 Pine Forest Dr Ste 102
Conroe, TX 77384-5302

Phone

(936) 271-9442

Fax

(800) 395-8956

NPI assigned

Mar 11, 2019

Organization subpart

No

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

Authorized official

Name

Balbeer Kaur Godwin

Title

RN, Administrator

Phone

(281) 799-7089

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1598223448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PINE FOREST DR STE 102",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773845302",
            "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": "150 PINE FOREST DR STE 102",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773845302",
            "telephone_number": "936-271-9442",
            "fax_number": "800-395-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR HOME DIALYSIS LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "BALBEER",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "RN, ADMINISTRATOR",
        "authorized_official_telephone_number": "281-799-7089"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HEALTH AND HUMAN SERVICES (DADS)",
            "identifier": "017785",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vrodgers@lonestarhomedialysis.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "150 Pine Forest Dr Ste 102",
            "city": "Conroe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773845302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lone Star Community Health Center, Inc.
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• Lone Star Community Health Center, Inc.
• Lone Star Community Health Center, Inc.
• Lonestar Eyecare Associates PC
• Alex Long, DMD
• Jessica Long
• Kristi D Long, NCC, LPC, LCDC
• Christie Loop, RN, NC-BC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Conroe, TX
• Providers in Conroe, 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 Mar 11, 2019; 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.