Organization Active NPI

Singular Luxury Dialysis Pearland LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pearland, TX
National Provider Identifier
1912520412
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SINGULAR LUXURY DIALYSIS PEARLAND LLC
Practice address
11161 Shadow Creek Pkwy Ste 101
Pearland, TX 77584-7286
Phone
(346) 409-1192
Fax
(713) 413-8886
NPI assigned
May 19, 2020
Last updated
Mar 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Mrs. Jennifer Enabe, RN
Title
Owner
Phone
(713) 628-2646

Specialties & licenses 1

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

Addresses

Primary practice location

11161 Shadow Creek Pkwy Ste 101
Pearland, TX 77584-7286

Mailing address

11161 Shadow Creek Pkwy Ste 101
Pearland, TX 77584-7286
Phone (832) 905-6200

Other identifiers 1

IdentifierTypeStateIssuer
110555OtherTXTEXAS STATE DEPARTMENT OF HEALTH SERVICES

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1912520412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11161 SHADOW CREEK PKWY STE 101",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847286",
            "telephone_number": "832-905-6200",
            "fax_number": "832-850-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11161 SHADOW CREEK PKWY STE 101",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847286",
            "telephone_number": "346-409-1192",
            "fax_number": "713-413-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINGULAR LUXURY DIALYSIS PEARLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "ENABE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-628-2646",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE DEPARTMENT OF HEALTH SERVICES",
            "identifier": "110555",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.