Humble Dialysis, LP

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

110007 Issued in TX

Legal business name

HUMBLE DIALYSIS, LP

Practice address

19502 McKay Dr Ste 100
Humble, TX 77338-5720

Phone

(281) 540-4313

Fax

(281) 540-4185

NPI assigned

Sep 1, 2009

Organization subpart

No

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

Authorized official

Name

Joan Harris, RN

Title

Director of Nursing/ Facility Admin

Phone

(281) 540-4313

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Humble Dialysis, LPCCN 672699

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Jan 28, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

32

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karla D Howard, RN

  • Contractor
  • Lufkin, TX
  • NPI 1700063542
  NPD

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Anthony K. Hanson, M.D.

  • Nephrology Physician
  • Humble, TX
  • NPI 1447257993

  Dialysis facility

  Care Compare affiliation Name & address match
• Mohammad A Zia, M.D.

  • Nephrology Physician
  • Humble, TX
  • NPI 1679570139

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1992938443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19502 MCKAY DR STE 100",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385720",
            "telephone_number": "281-540-4313",
            "fax_number": "281-540-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19502 MCKAY DR STE 100",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385720",
            "telephone_number": "281-540-4313",
            "fax_number": "281-540-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBLE DIALYSIS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING/ FACILITY ADMIN",
        "authorized_official_telephone_number": "281-540-4313",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "110007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337172601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE PROVIDER NUMBER",
            "identifier": "N1001828",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Humble Cardiac and Endovascular
• Humble Cardio and Endovascular
• Humble Cardiovascular Center, PA
• Humble Dental Arts, PLLC
• Humble Dermatology PLLC
• Humble Emergency Physicains Professional Association
• Humble ENT and Facial Plastics, LLP
• Humble ER & Hospital LLC
• Humble Facilities & Hospital, LLC
• Humble Family Practice, PLLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Humble, TX
• Providers in Humble, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.