Organization Active NPI

Jasper-Ara Dialysis L.L.P.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jasper, TX
National Provider Identifier
1679684567
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
JASPER-ARA DIALYSIS L.L.P.
Doing business as
Kidney Center of Jasper
Practice address
930 Marvin Hancock Dr
Jasper, TX 75951-4752
Phone
(409) 384-4200
Fax
(409) 384-4255
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Sara Anne Brady
Title
Chief Nursing Officer
Phone
(208) 371-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

930 Marvin Hancock Dr
Jasper, TX 75951-4752

Mailing address

930 Marvin Hancock Dr
Jasper, TX 75951-4752
Phone (409) 384-4200

Other identifiers 1

IdentifierTypeStateIssuer
145502402MedicaidTX

Other names 1

  • Kidney Center of Jasper Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021028000010 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 2365350881 Practice locations: Jasper, TX

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Kidney Center of JasperCCN 452830
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Aug 3, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Chain
American Renal Associates
Dialysis stations
21

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0986844Kidney Center of Jasper930 Marvin Hancock Drive, Jasper, TX 75951Certificate of waiverMay 22, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1679684567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MARVIN HANCOCK DR",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514752",
            "telephone_number": "409-384-4200",
            "fax_number": "409-384-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MARVIN HANCOCK DR",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514752",
            "telephone_number": "409-384-4200",
            "fax_number": "409-384-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER-ARA DIALYSIS L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145502402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidney Center of Jasper",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kidney Center of Jasper",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.