Elik Dialysis Home Therapy Management LLC

Primary specialty

Peritoneal Dialysis Registered NurseTaxonomy code 163WD1100X

License

537328 Issued in TX

Legal business name

ELIK DIALYSIS HOME THERAPY MANAGEMENT LLC

Practice address

311 RR 620 South
Suite 103
Austin, TX 78734-4747

Phone

(512) 266-8135

Fax

(512) 266-9266

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Balbeer K Godwin, REGISTERED NURSE RN

Title

President

Phone

(512) 203-3826

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1821273558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 RR 620 SOUTH",
            "address_2": "SUITE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787344747",
            "telephone_number": "512-266-8135",
            "fax_number": "512-266-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 RR 620 SOUTH",
            "address_2": "SUITE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787344747",
            "telephone_number": "512-266-8135",
            "fax_number": "512-266-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIK DIALYSIS HOME THERAPY MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "BALBEER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-203-3826",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE RN"
    },
    "taxonomies": [
        {
            "code": "163WD1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "TX",
            "license": "537328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Austin, TX
• Providers in Austin, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.