Organization Active NPI

Satellite Healthcare Central States, LLC

Doing business as Satellite Healthcare South Laredo

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Laredo, TX
National Provider Identifier
1689030058
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
110151 Issued in TX
Legal business name
SATELLITE HEALTHCARE CENTRAL STATES, LLC
Doing business as
Satellite Healthcare South Laredo
Practice address
910 Guadalupe St Ste B
Laredo, TX 78040-5280
Phone
(956) 729-7411
Fax
(956) 729-0780
NPI assigned
Jan 14, 2016
Last updated
May 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SATELLITE HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Ms. Thomas Williams
Title
President/Coo
Phone
(925) 330-0823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 110151 TX Primary

Addresses

Primary practice location

910 Guadalupe St Ste B
Laredo, TX 78040-5280

Mailing address

300 Santana Row
Suite 300
San Jose, CA 95128-2424
Phone (956) 729-7411

Other names 1

  • Satellite Healthcare South Laredo Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160324001520 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 8628075421 Practice locations: Laredo, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
SHC South LaredoCCN 452732
Overall star rating
4.0 of 5
Ownership
Profit
Certified
May 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Chain
US Renal Care, Inc.
Dialysis stations
29

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
45D0912505Satellite Healthcare South Laredo910 Guadalupe Street, Ste B, Laredo, TX 78040Certificate of waiverMar 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Satellite Healthcare Central States LLC2 organizations share this tax ID, including this one
Part of
Satellite Dialysis CTRS Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1689030058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SANTANA ROW",
            "address_2": "SUITE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282424",
            "telephone_number": "956-729-7411",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 GUADALUPE ST STE B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405280",
            "telephone_number": "956-729-7411",
            "fax_number": "956-729-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE HEALTHCARE CENTRAL STATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SATELLITE HEALTHCARE, INC.",
        "enumeration_date": "2016-01-14",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "925-330-0823",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "110151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satellite Healthcare South Laredo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Satellite Healthcare South Laredo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.