Organization
GLOBAL HOME DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLETTE MARIE NELSON RN (OWNER/ADMINISTRATOR)
(713) 816-1487
Entity
Organization
Contact information
Practice address
12823 CAPRICORN STREET, STAFFORD, TX 77477
(281) 980-0787
(346) 299-9161
Mailing address
11611 WEST AIRPORT BLVD.,, STE H #106, MEADOWS PLACE, TX 77477
(281) 980-0787
(346) 299-9161
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
011843
TX
251F00000X
Home Infusion Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103077
DURABLE MEDICAL EQUIPMENT
TX
01
—
011843
TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES
TX
Enumeration date
10/19/2017
Last updated
10/15/2020
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