Organization Active NPI

Quality Dialysis One, LLC

  • Home Infusion Agency
  • Stafford, TX
National Provider Identifier
1649275504
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
License
005985 Issued in TX
Legal business name
QUALITY DIALYSIS ONE, LLC
Practice address
13311 Pike Rd Ste E
Stafford, TX 77477-5111
Phone
(281) 491-4009
Fax
(866) 557-4844
NPI assigned
Jun 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mrs. Maria Hemenez, RN
Title
Administrator
Phone
(281) 491-4009

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 005985 TX
Home Infusion Agency 251F00000X 005985 TX Primary
In Home Supportive Care Agency 253Z00000X 005985 TX
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 005985 TX
Dialysis Equipment & Supplies (DME) 332BD1200X 1001352 TX

Addresses

Primary practice location

13311 Pike Rd Ste E
Stafford, TX 77477-5111

Mailing address

13311 Pike Rd
Stafford, TX 77477-5111
Phone (281) 491-4009

Other identifiers 4

IdentifierTypeStateIssuer
0241291-01MedicaidTX
1001352OtherTXTEXAS DEPARTMENT OF STATE HEALTH SERVICES-DEVICE DISTRIBUTOR
019455OtherTXDMEPOS ACCREDIDIATION CERTIFICATION
005985OtherTXTEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES HOME & SUPPORT SRVC AGENCY

National Provider Directory

National Provider Directory

Locations

13311 Pike Rd
Ste E
Stafford, TX 77477
Phone (281) 491-4009

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1649275504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13311 PIKE RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775111",
            "telephone_number": "281-491-4009",
            "fax_number": "866-557-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13311 PIKE RD STE E",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775111",
            "telephone_number": "281-491-4009",
            "fax_number": "866-557-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY DIALYSIS ONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HEMENEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-491-4009",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "005985",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "TX",
            "license": "005985",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "005985",
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "005985",
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "TX",
            "license": "1001352",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0241291-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES-DEVICE DISTRIBUTOR",
            "identifier": "1001352",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS ACCREDIDIATION CERTIFICATION",
            "identifier": "019455",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES HOME & SUPPORT SRVC AGENCY",
            "identifier": "005985",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.