NPIMap

Organization Active NPI

Satellite Healthcare Central States LLC

Doing business as Satellite Healthcare Kyle

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Kyle, TX
National Provider Identifier
1932294725
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
008452 Issued in TX
Legal business name
SATELLITE HEALTHCARE CENTRAL STATES LLC
Doing business as
Satellite Healthcare Kyle
Practice address
134 Elmhurst Drive
Kyle, TX 78640-6060
Phone
(512) 392-9199
Fax
(512) 392-9363
NPI assigned
Oct 4, 2006
Last updated
Dec 30, 2016By the provider in NPPES
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
(640) 404-3618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 008452 TX Primary

Addresses

Primary practice location

134 Elmhurst Drive
Kyle, TX 78640-6060

Mailing address

300 Santana Row
Ste 300
San Jose, CA 95128-2423
Phone (512) 268-3100

Other identifiers 2

IdentifierTypeStateIssuer
185969602MedicaidTX
110096OtherTXSTATE OF TEXAS

Other names 1

  • Satellite Healthcare Kyle Doing business as

National Provider Directory

National Provider Directory
Part of
Satellite Dialysis CTRS Inc

Member of 2

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

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": "1932294725",
    "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": "512-268-3100",
            "fax_number": "650-625-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 ELMHURST DRIVE",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406060",
            "telephone_number": "512-392-9199",
            "fax_number": "512-392-9363"
        }
    ],
    "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": "640-404-3618"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "008452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185969602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TEXAS",
            "identifier": "110096",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Satellite Healthcare Kyle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kyle, 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.