Organization Active NPI

Global Home Dialysis

  • Home Infusion Agency
  • Stafford, TX
National Provider Identifier
1821509696
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
GLOBAL HOME DIALYSIS
Practice address
12823 Capricorn Street
Stafford, TX 77477
Phone
(281) 980-0787
Fax
(346) 299-9161
NPI assigned
Oct 19, 2017
Last updated
Oct 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Ms. Colette Marie Nelson, RNNPI 1295897718
Title
Owner/Administrator
Phone
(713) 816-1487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 011843 TX
Home Infusion Agency 251F00000X Primary
In Home Supportive Care Agency 253Z00000X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Dialysis Equipment & Supplies (DME) 332BD1200X

Addresses

Primary practice location

12823 Capricorn Street
Stafford, TX 77477

Mailing address

11611 West Airport Blvd.,
Ste H #106
Meadows Place, TX 77477
Phone (281) 980-0787

Other identifiers 2

IdentifierTypeStateIssuer
0103077OtherTXDURABLE MEDICAL EQUIPMENT
011843OtherTXTEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES

National Provider Directory

National Provider Directory

Locations

11611 W Airport Blvd
Ste H
Meadows Place, TX 77477
Phone (832) 232-2356

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1821509696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11611 WEST AIRPORT BLVD.,",
            "address_2": "STE H #106",
            "city": "MEADOWS PLACE",
            "state": "TX",
            "postal_code": "77477",
            "telephone_number": "281-980-0787",
            "fax_number": "346-299-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12823 CAPRICORN STREET",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "77477",
            "telephone_number": "281-980-0787",
            "fax_number": "346-299-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL HOME DIALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "713-816-1487",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011843",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE MEDICAL EQUIPMENT",
            "identifier": "0103077",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES",
            "identifier": "011843",
            "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 Oct 15, 2020; 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.