Memorial Home Dialysis, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEMORIAL HOME DIALYSIS, LLC

Practice address

11980 Kirby Dr Ste 102
Houston, TX 77045-4860

Phone

(346) 440-2800

Fax

(346) 440-2900

NPI assigned

Sep 17, 2021

Last updated

Sep 17, 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

Mrs. Alma McClead, RN

Title

Administrator

Phone

(806) 283-7617

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1639849920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11980 KIRBY DR STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770454860",
            "telephone_number": "346-440-2800",
            "fax_number": "346-440-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 KIRBY DR STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770454860",
            "telephone_number": "346-440-2800",
            "fax_number": "346-440-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOME DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "MCCLEAD",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-283-7617",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.