DVA RENAL HEALTHCARE, INC. (NPI# 1053375030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053375030 |
Entity Type | Organization |
Organization Name | DVA RENAL HEALTHCARE, INC. |
Other Organization Name | SMITHFIELD DIALYSIS |
Practice Address |
15225 Carrollton Blvd Carrollton VA 23314-2303 |
Mailing Address |
5200 Virginia Way Ste. 400 L&c Brentwood TN 37027-7569 |
Practice Telephone | 7572389888 |
Practice Fax Number | 7572389700 |
Mailing Telephone | 6153204218 |
Mailing Fax Number | 3032097825 |
Enumeration Date | 2006-04-14 |
Last Update Date | 2020-08-22 |
Authorized Official Name | THOMAS O. USILTON JR. (GROUP VICE PRESIDENT) |
Authorized Official Telephone | 7705417922 |
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 |
---|---|
Smithfield Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346752607 | Dva Renal Healthcare, Inc. | Clinic/Center | 191 Se Railroad St, Sharpsburg, NC 27878 | 2017-10-26 |
1083678320 | Dva Renal Healthcare, Inc. | Clinic/Center | 5150 Duke St, Alexandria, VA 22304-2906 | 2006-04-13 |
1649233222 | Dva Renal Healthcare, Inc. | Clinic/Center | 835 Smithville Hwy, #15, Mc Minnville, TN 37110-1669 | 2006-04-06 |
1235199076 | Dva Renal Healthcare, Inc. | Clinic/Center | 2307 S Mount Prospect Rd, Des Plaines, IL 60018-1811 | 2006-03-24 |
1417926486 | Dva Renal Healthcare, Inc. | Clinic/Center | 1741 Commerce Dr Nw Ste 405, Atlanta, GA 30318-3107 | 2006-03-14 |
1801864145 | Dva Renal Healthcare, Inc. | Clinic/Center | 2850 34th St S, Saint Petersburg, FL 33711-3817 | 2006-03-11 |
1891763132 | Dva Renal Healthcare, Inc. | Clinic/Center | 2410 S Adams St, Tallahassee, FL 32301-6325 | 2006-03-11 |
1326016130 | Dva Renal Healthcare, Inc. | Clinic/Center | 661 9th St N, Naples, FL 34102-8132 | 2006-03-08 |
1245208057 | Dva Renal Healthcare, Inc. | Clinic/Center | 860 Ne 125th St, North Miami, FL 33161-5743 | 2006-03-08 |
1104893221 | Dva Renal Healthcare, Inc. | Clinic/Center | 2235 S Babcock St, Melbourne, FL 32901 | 2006-03-07 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | DVA RENAL HEALTHCARE, INC. | Jld/secgovfin, 2000 16th Street, Denver, CO 80202 |
Washington State Corporations | DVA RENAL HEALTHCARE, INC. | Jld/secgovfin 2000 16th Street, Denver, CO 80202 |
Vermont Business Registrations | DVA RENAL HEALTHCARE, INC. | Jld/secgovfin, 2000 16th Street, Denver, CO 80202 |
Iowa Business Entities | DVA RENAL HEALTHCARE, INC. | Jldsecgovfin 2000 16th Street, Denver, CO 80202 |
Oklahoma Business Registrations | DVA RENAL HEALTHCARE, INC. | 601 Hawaii St, El Segundo, CA 90245 |
Massachusetts Corporations | DVA RENAL HEALTHCARE, INC. | 2000 16th Street, Denver, CO 80202 |
Street Address |
15225 CARROLLTON BLVD |
City | CARROLLTON |
State | VA |
Zip Code | 23314-2303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881257749 | Humanity Home Health LLC | Home Health | 15046 Carrollton Blvd., Ste G, Carrollton, VA 23314 | 2019-04-17 |
1629585674 | Cuadro Home Care Incorporated | Respite Care | 14192 Chapmans Ln, Carrollton, VA 23314 | 2017-12-29 |
1801325394 | Crystal Hunt | Specialist/Technologist | 13177 Lake Pointe Dr, Carrollton, VA 23314 | 2017-06-08 |
1134193428 | Jesse Stephens Julian Jr. | Surgery | 506 Founders Pointe Trail, Carrollton, VA 23314 | 2006-02-14 |
1639582539 | Sarah Forsythe | Family Medicine | 20209 Sentara Way Ste 200, Carrollton, VA 23314 | 2014-06-09 |
1902834815 | Marcus James Miller | Respiratory Therapist, Certified | 304 Marshview Ct, Carrollton, VA 23314-2242 | 2006-06-29 |
1518290378 | Kimberly A Quinter | Physician Assistant | 16160 Quail Crescent Ln, Carrollton, VA 23314-2251 | 2009-09-11 |
1609259787 | Professional Home Health Care LLC | Home Health | 15207 Carrollton Blvd, Carrollton, VA 23314-2303 | 2015-07-07 |
1831569425 | Professional Home Health Care LLC | Respite Care | 15207 Carrollton Blvd, Carrollton, VA 23314-2303 | 2015-09-25 |
1962422022 | Qingyan Zhu | Psychiatry & Neurology | 15154 Carrollton Blvd, Suite A, Carrollton, VA 23314-2316 | 2006-07-20 |
Find all providers in zip 23314 |
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 |
---|---|---|---|---|
1538727938 | Lifeline Home Health LLC | Clinic/Center | 4125 Fairway Dr Ste 135, Carrollton, TX 75010-6510 | 2019-05-31 |
1669959888 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 130 Parkwood Cir, Carrollton, GA 30117-8353 | 2018-07-20 |
1174929434 | Carrollton Regional Dialysis Center LLC | Clinic/Center | 1128 N I 35, Carrollton, TX 75006-3803 | 2014-11-14 |
1558646935 | Caddo Dialysis LLC | Clinic/Center | 329 Floyd Dr Ste B, Carrollton, KY 41008-8261 | 2011-10-17 |
1396059382 | Dva Healthcare of Tuscaloosa LLC | Clinic/Center | 289 William E Hill Dr, Suite A, Carrollton, AL 35447 | 2010-08-02 |
1699817544 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 157 Clinic Ave Ste 102, Carrollton, GA 30117-4454 | 2007-02-13 |
1952413783 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 195 Parkwood Cir, Carrollton, GA 30117-8756 | 2006-08-31 |
1952329864 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1544 Valwood Pkwy Ste 114, Carrollton, TX 75006-8425 | 2006-07-18 |
1790700839 | Renal Center of Carrollton, Lp, Lllp | Clinic/Center | 4240 International Pkwy Ste 158, Carrollton, TX 75007-1974 | 2006-07-12 |
1124329982 | Total Renal Care Inc | Clinic/Center | 195 Parkwood Cir, Carrollton, GA 30117-8756 | 2010-11-10 |
Find all providers in CARROLLTON |
City | CARROLLTON |
Zip Code | 23314 |
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.