DVA RENAL HEALTHCARE INC (NPI# 1043277015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043277015 |
| Entity Type | Organization |
| Organization Name | DVA RENAL HEALTHCARE INC |
| Other Organization Name | MIAMI GARDENS DIALYSIS |
| Practice Address |
3363 Nw 167th St Miami Gardens FL 33056-4254 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 3056279311 |
| Practice Fax Number | 3056289389 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | JOHN WINSTEL (CAO) |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 891993300 | 05 |
| Other Name | Type Code |
|---|---|
| Miami Gardens Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629415609 | Dva Renal Healthcare Inc | Clinic/Center | 300 B 22nd St South, Birmingham, AL 35233-2209 | 2013-05-30 |
| 1164728408 | Dva Renal Healthcare Inc | Clinic/Center | 415 W Nc Hwy 54, Durham, NC 27713-7516 | 2011-02-03 |
| 1295983245 | Dva Renal Healthcare Inc | Clinic/Center | 1919 Charlotte Ave Ste 200, Nashville, TN 37203-2245 | 2008-09-03 |
| 1811171440 | Dva Renal Healthcare Inc | Clinic/Center | 300 W Broadway Ste 150, Council Bluffs, IA 51503-9077 | 2007-12-18 |
| 1881623585 | Dva Renal Healthcare Inc | Clinic/Center | 271 King St, Perth Amboy, NJ 08861-4488 | 2006-07-03 |
| 1164451852 | Dva Renal Healthcare Inc | Clinic/Center | 262 Texas Rd, Ste 101, Old Bridge, NJ 08857-4008 | 2006-07-03 |
| 1912936618 | Dva Renal Healthcare Inc | Clinic/Center | 1200 Randolph Rd, Muhlenburg Campus, Plainfield, NJ 07060-3361 | 2006-07-03 |
| 1346270782 | Dva Renal Healthcare Inc | Clinic/Center | 230 Van Sciver Pkwy, Willingboro, NJ 08046-1131 | 2006-07-03 |
| 1548299381 | Dva Renal Healthcare Inc | Clinic/Center | 29 Meridian Rd, Edison, NJ 08820-2823 | 2006-07-02 |
| 1548299373 | Dva Renal Healthcare Inc | Clinic/Center | 14-20 Prospect St, East Orange, NJ 07017-2238 | 2006-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DVA Renal Healthcare Inc. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
3363 NW 167TH ST |
| City | MIAMI GARDENS |
| State | FL |
| Zip Code | 33056-4254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912475898 | Dory Ailec Abellon Mederos | Behavior Technician | 3270 Nw 208 St, Miami Garden, FL 33056 | 2018-11-08 |
| 1356867121 | Sonya Hunter | Case Management | 2200 Nw 193rd Terrace, Miami, FL 33056 | 2017-08-14 |
| 1144759531 | Spirit Residential Group Home | Clinic/Center | 17311 N.w 33 Ct, Miami Gardens, FL 33056 | 2017-06-08 |
| 1942744735 | Medicode Network Solutions | Durable Medical Equipment & Medical Supplies | 16805 Nw 24 Ct, Miami, FL 33056 | 2016-12-13 |
| 1114317013 | Mental Health Counseling of South Florida LLC | Social Worker | 18656 Nw 47 Ave, #102 F, Miami Gardens, FL 33056 | 2015-01-29 |
| 1568713956 | A Sweet Adult Care Alf, Inc | Assisted Living Facility | 2751 Nw 209th Terra, Miami Gardens, FL 33056 | 2012-09-25 |
| 1093006660 | Gloria Jean Roan | Respiratory Therapist, Registered | 2320 Nw 187th Street, Miami Garden, FL 33056 | 2011-04-29 |
| 1891091690 | Barry M Gillman | Chiropractor | 17325 Nw 27th Avenue, Suite 111, Miami, FL 33056 | 2011-01-27 |
| 1245363381 | Wal-mart Stores, Inc. | Technician/Technologist | 19501 Northwest 27th Ave., Miami Gardens, FL 33056 | 2007-03-14 |
| 1689719213 | Great Care Pharmacy Inc | Pharmacy | 17560 Nw 27 Ave, Suite 107, Miami Gardens, FL 33056 | 2007-02-21 |
| Find all providers in zip 33056 | ||||
| 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 |
|---|---|---|---|---|
| 1417473786 | Total Renal Care Inc | Clinic/Center | 21353 Nw 2nd Ave, Miami Gardens, FL 33169-2112 | 2017-08-18 |
| 1801263009 | Nulife Dialysis, Inc. | Clinic/Center | 4805 Nw 183rd St, Miami Gardens, FL 33055-2955 | 2015-08-24 |
| 1710373634 | First Prevention & Dialysis Center,llc | Clinic/Center | 17940 Nw 27th Ave, Miami Gardens, FL 33056-3505 | 2015-04-07 |
| 1881181279 | Canney Dialysis LLC | Clinic/Center | 21353 Nw 2nd Ave, Miami Gardens, FL 33169-2112 | 2018-04-20 |
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|---|---|---|---|---|
| 1801496104 | Kidney Care Center of Winter Haven LLC | Clinic/Center | 1107 3rd St Sw Ste 9, Winter Haven, FL 33880-3912 | 2020-10-27 |
| 1538773411 | 5072020, LLC | Clinic/Center | 2675 Winkler Ave Ste 130, Fort Myers, FL 33901-9362 | 2020-09-08 |
| 1750992814 | Swain Dialysis Renal Center | Clinic/Center | 1923 Nw 43rd St, Miami, FL 33142-4777 | 2020-08-12 |
| 1396355525 | Kidney Partners Coral Gables LLC | Clinic/Center | 835 Sw 37th Ave, Miami, FL 33135-4289 | 2020-08-03 |
| 1427668870 | Dialysis Spa, LLC | Clinic/Center | 2040 Ne 163rd St Ste 206, North Miami Beach, FL 33162-4953 | 2020-07-31 |
| 1285250522 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 775 Gateway Dr Ste 1010, Altamonte Springs, FL 32714-1524 | 2020-06-23 |
| 1992321244 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 | 2020-06-23 |
| 1023630886 | Fresenius Medical Care Apollo Beach, LLC | Clinic/Center | 3002 E College Ave, Ruskin, FL 33570-5220 | 2020-05-14 |
| 1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
| 1487274734 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI GARDENS |
| Zip Code | 33056 |
Please comment or provide details below to improve the information on DVA RENAL HEALTHCARE INC.
| 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.