KIDNEYSPA IN-HOME DIALYSIS SE TEXAS LLC
NPI 1477212959
Home Infusion in Pearland, TX

NPI Status: Active since December 13, 2021

Contact Information

7102 BROOKSIDE RD
PEARLAND, TX
ZIP 77581
Phone: (832) 352-4277

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  • Organization
  • Home Infusion
  • CLIA Number: 10D1086049
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 07-01-2026

About KIDNEYSPA IN-HOME DIALYSIS SE TEXAS LLC

This page provides the complete NPI Profile along with additional information for Kidneyspa In-home Dialysis Se Texas Llc, a provider established in Pearland, Texas operating as a Home Infusion. The healthcare provider is registered in the NPI registry with number 1477212959 assigned on December 2021. The practitioner's primary taxonomy code is 251F00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Juan M Cuellar Md (Member)

NPI
1477212959
Provider Name
KIDNEYSPA IN-HOME DIALYSIS SE TEXAS LLC
Entity Type
Organization
Location Address
7102 BROOKSIDE RD PEARLAND, TX 77581
Location Phone
(832) 352-4277
Mailing Address
219 NW 12TH AVE APT 508 MIAMI, FL 33128
Mailing Phone
(305) 329-2900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-13-2021
Last Update Date
10-17-2023
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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

Home Infusion

Taxonomy Code
251F00000X
Type
Agencies

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251E00000XAgencies

Home Health

 
2253Z00000XAgencies

In Home Supportive Care

 
3261QE0700XAmbulatory Health Care Facilities

Clinic/Center
End-Stage Renal Disease (ESRD) Treatment

 
4332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
5332BD1200XSuppliers

Durable Medical Equipment & Medical Supplies
Dialysis Equipment & Supplies

 

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

JUAN M CUELLAR MD

Authorized Official Title
MEMBER
Authorized Official Phone
(305) 329-2900

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
10D1086049
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
July 02, 2024
Certificate Expiration Date
July 01, 2026
Laboratory Director
JUAN M. CUELLAR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kidneyspa In-home Dialysis Se Texas Llc 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 1477212959, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
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 7 → 14 → 5 2 → 4 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 4 + 7 + 4 + 1 + 4 + 9 + 1 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1477212959.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477212959, enumerated as an "organization" on December 13, 2021.

The provider is located at 7102 BROOKSIDE RD PEARLAND, TX 77581 and the phone number is (832) 352-4277.

Home Infusion with taxonomy code 251F00000X.