BRETTON DIALYSIS LLC (NPI# 1033622337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033622337 |
| Entity Type | Organization |
| Organization Name | BRETTON DIALYSIS LLC |
| Other Organization Name | THE DISTRICT DIALYSIS |
| Practice Address |
2300 Corporate Cir Ste 100 Henderson NV 89074-7725 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 7024875576 |
| Mailing Telephone | 6153416814 |
| Mailing Fax Number | 8002938405 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | JAMES HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The District Dialysis | Doing Business As Name - Organization |
| Street Address |
2300 CORPORATE CIR STE 100 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-7725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508494295 | Fresenius Medical Care Nkdhc, LLC | Clinic/Center | 1000 Wellness Pl, Ste 200, Henderson, NV 89011-2338 | 2020-03-30 |
| 1972139780 | Fresenius Medical Care Nkdhc, LLC | Clinic/Center | 1051 Wellness Pl, Suite 100, Henderson, NV 89011 | 2020-03-13 |
| 1780032169 | Lofield Dialysis LLC | Clinic/Center | 2480 Us Highway 41 N Ste J, Henderson, KY 42420-2376 | 2016-05-26 |
| 1447643408 | Dva Healthcare Renal Care Inc | Clinic/Center | 1274 Ruin Creek Road, Henderson, NC 27537-4168 | 2015-03-13 |
| 1922279397 | Valley Springs Dialysis LLC | Clinic/Center | 1510 W Warm Springs Rd, Ste 100, Henderson, NV 89014-3586 | 2008-03-13 |
| 1881650182 | Renal Life Link Inc | Clinic/Center | 70 N Gardenmile Rd, Henderson, KY 42420-5529 | 2006-04-25 |
| 1013970938 | Total Renal Care Texas Limited Partnership | Clinic/Center | 1002 Us Highway 79 N, Henderson, TX 75652-6008 | 2006-04-11 |
| 1558323709 | Dva Renal Healthcare Inc | Clinic/Center | 2530 Anthem Village Dr, Henderson, NV 89052-5548 | 2006-04-04 |
| 1801855481 | Dva Renal Healthcare Inc | Clinic/Center | 854 S Beckford Dr, Henderson, NC 27536-3487 | 2006-03-21 |
| 1487040689 | Fresenius Medical Care Nkdhc, LLC | Clinic/Center | 1661 W Horizon Ridge Pkwy, Ste 101, Henderson, NV 89012-3494 | 2015-04-14 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.