Active NPI
Satellite Healthcare South Germantown LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Memphis, TN
National Provider Identifier
1972914273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- SATELLITE HEALTHCARE SOUTH GERMANTOWN LLC
- Practice address
- 6552 Quince Rd
Memphis, TN 38119-8211 - Phone
- (901) 259-3423
- Fax
- (650) 625-6477
- NPI assigned
- May 8, 2014
- Organization subpart
- Yes
- Parent organization
- SATELLITE HEALTHCARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas L Weinberg
- Title
- Chairman
- Phone
- (214) 736-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
6552 Quince Rd
Memphis, TN 38119-8211
Mailing address
300 Santana Row
Suite 300
San Jose, CA 95128-2423
Phone (650) 404-3657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 442727 | Medicaid | TN |
Other names 1
- Satellite Healthcare South Germantown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141105001821 | TN | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 9234351370 | Practice locations: Memphis, TN |
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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jamestown, CA
- NPI 1649241720
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Jose, CA
- NPI 1548232572
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715731200000",
"number": "1972914273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SANTANA ROW",
"address_2": "SUITE 300",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282423",
"telephone_number": "650-404-3657",
"fax_number": "650-625-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6552 QUINCE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381198211",
"telephone_number": "901-259-3423",
"fax_number": "650-625-6477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SATELLITE HEALTHCARE SOUTH GERMANTOWN LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SATELLITE HEALTHCARE INC",
"enumeration_date": "2014-05-08",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "214-736-2700"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "442727",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Satellite Healthcare South Germantown",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Satellite Healthcare South Germantown",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.