KELSEY SEYBOLD ASC MEMORIAL VILLAGES
NPI 1144977026
Clinic/Center - Ambulatory Surgical in Houston, TX

NPI Status: Active since March 09, 2022

Contact Information

9110 KATY FREEWAY
HOUSTON, TX
ZIP 77055
Phone: (713) 442-5669

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 45D2262684
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 06-15-2026

About KELSEY SEYBOLD ASC MEMORIAL VILLAGES

This page provides the complete NPI Profile along with additional information for Kelsey Seybold Asc Memorial Villages, a provider established in Houston, Texas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1144977026 assigned on March 2022. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Kelsey Seybold Asc Memorial Villages. The authorized official of this NPI record is Julie Burch Garcia (Sr Director, Revenue Cycle Mgmt)

NPI
1144977026
Provider Legal Name
KS SC LLC
Other Organization Name
KELSEY SEYBOLD ASC MEMORIAL VILLAGES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9110 KATY FREEWAY HOUSTON, TX 77055
Location Phone
(713) 442-5669
Mailing Address
11511 SHADOW CREEK PKWY CENTRAL BUSINESS OFFICE (ASC) PEARLAND, TX 77584
Mailing Phone
(713) 442-5669
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-09-2022
Last Update Date
05-09-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JULIE BURCH GARCIA

Authorized Official Title
SR DIRECTOR, REVENUE CYCLE MGMT
Authorized Official Phone
(713) 442-5027

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2262684
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
June 16, 2024
Certificate Expiration Date
June 15, 2026
Laboratory Director
SHANE MAGEE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kelsey Seybold Asc Memorial Villages to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1144977026, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 9 → 18 → 9 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 8 + 4 + 1 + 8 + 7 + 1 + 4 + 0 + 4 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1144977026.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Preventive Medicine (Occupational Medicine)
9110 KATY FREEWAY
HOUSTON, TX 77055
Nurse Practitioner (Family)
9110 KATY FREEWAY
HOUSTON, TX 77055
Internal Medicine (Gastroenterology)
9110 KATY FREEWAY
HOUSTON, TX 77055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144977026, enumerated as an "organization" on March 09, 2022.

The provider is located at 9110 KATY FREEWAY HOUSTON, TX 77055 and the phone number is (713) 442-5669.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.