Organization
FIVE STAR DIALYSIS, LLC
Active
Other names
FIVE STAR HOME DIALYSIS
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO E GERALDO RN (ADMINISTRATOR / CFO)
(713) 436-1811
Entity
Organization
Contact information
Practice address
3327 S SAM HOUSTON PKWY E STE 200B, HOUSTON, TX 77047-6549
(713) 436-1811
(281) 506-8751
Mailing address
3327 S SAM HOUSTON PKWY E STE 200B, HOUSTON, TX 77047-6549
(713) 436-1811
(281) 506-8751
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
251F00000X
Home Infusion Agency
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016415
LICENSED HCSSA
TX
Enumeration date
05/27/2014
Last updated
08/25/2024
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