Organization
HOME KIDNEY CARE, LLC
Active
Other names
DALLAS HOME TRAINING
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
6200 LBJ FWY STE 100, DALLAS, TX 75240-6355
(214) 466-7233
(214) 393-4738
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000HH6499
BLUE CROSS
TX
05
—
1587628-03
—
TX
Enumeration date
07/30/2006
Last updated
05/06/2025
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