DVA HEALTHCARE RENAL CARE INC. (NPI# 1053389536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053389536 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE RENAL CARE INC. |
| Other Organization Name | CENTRAL TAMPA DIALYSIS |
| Practice Address |
4204 N Macdill Ave South Bldg Tampa FL 33607-6342 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8138713202 |
| Practice Fax Number | 8138713903 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 | 200518200 | 05 |
| Other Name | Type Code |
|---|---|
| Central Tampa Dialysis | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DVA HEALTHCARE RENAL CARE INC. | 2000 16th St, Jld/Secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
4204 N MACDILL AVE SOUTH BLDG |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205006228 | Ybor City Dialysis LLC | Clinic/Center | 4204 N Macdill Ave, Ste 1b, Tampa, FL 33607-6364 | 2008-03-05 |
| 1992918445 | Stacey Miller | Counselor | 4204 N Macdill Ave, Tampa, FL 33607-6364 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| 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 |
|---|---|---|---|---|
| 1720622574 | Fresenius Medical Care Tampa, LLC | Clinic/Center | 4602 N Armenia Ave Bldg B, Tampa, FL 33603-2626 | 2019-11-05 |
| 1932677838 | Bayfield Dialysis LLC | Clinic/Center | 6222 Harney Rd, Tampa, FL 33610-5500 | 2018-11-08 |
| 1437673407 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5951 Webb Rd, Tampa, FL 33615-3219 | 2017-08-01 |
| 1952771313 | Starks Dialysis LLC | Clinic/Center | 2301 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2015-09-29 |
| 1922477017 | Starks Dialysis, LLC | Clinic/Center | 2301 Martin Luther King Jr Blvd, Tampa, FL 33606 | 2015-09-18 |
| 1033599766 | Dsi Lutz, LLC | Clinic/Center | 3421 N Lakeview Dr, Tampa, FL 33618-4910 | 2015-06-08 |
| 1871971556 | Brache Dialysis LLC | Clinic/Center | 2205 W Kennedy Blvd, Tampa, FL 33606-1536 | 2015-05-13 |
| 1275810905 | Mammoth Dialysis LLC | Clinic/Center | 14358 N Dale Mabry Hwy, Tampa, FL 33618-2018 | 2011-11-09 |
| 1518196252 | Total Renal Care Inc | Clinic/Center | 10770 N 46th St Ste A100, Tampa, FL 33617-3465 | 2009-07-02 |
| 1629250857 | Bio Medical Applications | Clinic/Center | 5625 W Waters Ave Ste A, Tampa, FL 33634-1226 | 2007-11-29 |
| Find all providers in TAMPA | ||||
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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.