Active NPI
Quality Dialysis One, LLC
- Home Infusion Agency
- Stafford, TX
National Provider Identifier
1649275504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- License
- 005985
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0241291-01 | Medicaid | TX | |
| 1001352 | Other | TX | TEXAS DEPARTMENT OF STATE HEALTH SERVICES-DEVICE DISTRIBUTOR |
| 019455 | Other | TX | DMEPOS ACCREDIDIATION CERTIFICATION |
| 005985 | Other | TX | TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES HOME & SUPPORT SRVC AGENCY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Stafford, TX
- NPI 1184595332
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.