KELSEY SEYBOLD ASC MEMORIAL VILLAGES – NPI #1144977026
Clinic/Center

KELSEY SEYBOLD ASC MEMORIAL VILLAGES is an AHC clinic located in HOUSTON, TX. NPPES has assigned the NPI number 1144977026 to KELSEY SEYBOLD ASC MEMORIAL VILLAGES on March 09, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KELSEY SEYBOLD ASC MEMORIAL VILLAGES” is a dba name, the actual legal business name for this organization is KS SC LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 2 years ago on May 09, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELSEY SEYBOLD ASC MEMORIAL VILLAGES below.

NPI Profile for
KS SC LLC

NPI Number
1144977026
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KS SC LLC
Doing Business As (dba): KELSEY SEYBOLD ASC MEMORIAL VILLAGES
Primary location
9110 KATY FREEWAY
HOUSTON, TX 77055-7407
Phone: (713) 442-5669 Fax:
Mailing address
11511 SHADOW CREEK PKWY
CENTRAL BUSINESS OFFICE (ASC)
PEARLAND, TX 77584-7298
Phone: (713) 442-5669 Fax:
Organization Subpart
Yes - KELSEY SEYBOLD ASC MEMORIAL VILLAGES is subpart of another organization.
Authorized Official
JULIE GARCIA
SR DIRECTOR, REVENUE CYCLE MGMT
Phone: (713) 442-5027
Updated
Certification Date
May 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.