Organization Active NPI

Satellite Healthcare Central States LLC

Doing business as Satellite Healthcare Round Rock

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Round Rock, TX
National Provider Identifier
1841385630
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
008035 Issued in TX
Legal business name
SATELLITE HEALTHCARE CENTRAL STATES LLC
Doing business as
Satellite Healthcare Round Rock
Practice address
16010 Park Valley Dr
Ste 100
Round Rock, TX 78681-3575
Phone
(512) 275-0100
Fax
(512) 388-6025
NPI assigned
Oct 4, 2006
Organization subpart
Yes
Parent organization
SATELLITE HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Authorized official

Name
Susan L Del Bene
Title
Secretary/Cfo
Phone
(650) 404-3618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 008035 TX Primary

Addresses

Primary practice location

16010 Park Valley Dr
Ste 100
Round Rock, TX 78681-3575

Mailing address

300 Santana Row
Ste 300
San Jose, CA 95128-2423
Phone (512) 275-0100

Other identifiers 2

IdentifierTypeStateIssuer
008459OtherTXSTATE OF TEXAS
185969604MedicaidTX

Other names 1

  • Satellite Healthcare Round Rock Doing business as

National Provider Directory

National Provider Directory
Part of
Satellite Laboratory SE

Member of 2

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

Locations

16010 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 275-0100

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1841385630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SANTANA ROW",
            "address_2": "STE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282423",
            "telephone_number": "512-275-0100",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16010 PARK VALLEY DR",
            "address_2": "STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813575",
            "telephone_number": "512-275-0100",
            "fax_number": "512-388-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELLITE HEALTHCARE CENTRAL STATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SATELLITE HEALTHCARE INC",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "DEL BENE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY/CFO",
        "authorized_official_telephone_number": "650-404-3618"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "008035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TEXAS",
            "identifier": "008459",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185969604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satellite Healthcare Round Rock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.