NPI Code Details Logo

NPI 1700112034

NPI 1700112034 : ACUTE RENAL CARE INC : HIGHLANDS, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1700112034
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ACUTE RENAL CARE INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/21/2009
-----------------------------------------------------
    Last Update Date     |    01/20/2015
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    400 W OAK ST 
-----------------------------------------------------
    City                 |    HIGHLANDS
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77562-2850
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    281-426-4300
-----------------------------------------------------
    Fax                  |    281-426-2900
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 24474 
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77229-4474
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    281-426-4300
-----------------------------------------------------
    Fax                  |    281-426-2900
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    MRS. PAMELA NAOMI SCOTT 
-----------------------------------------------------
    Credential           |    RN
-----------------------------------------------------
    Telephone            |    832-434-7233
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QE0700X
-----------------------------------------------------
    Taxonomy Name        |    End-Stage Renal Disease (ESRD) Treatment Clinic/Center
-----------------------------------------------------
    License Number       |    016408
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    016408
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.