SOMERVILLE DIALYSIS CENTER LLC (NPI# 1053599357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053599357 |
| Entity Type | Organization |
| Organization Name | SOMERVILLE DIALYSIS CENTER LLC |
| Other Organization Name | GALLERIA HOME TRAINING DIALYSIS |
| Practice Address |
9045 Highway 64 Ste 102 Lakeland TN 38002-8394 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 9012132955 |
| Practice Fax Number | 9012131724 |
| Mailing Telephone | 6153204514 |
| Mailing Fax Number | 8665949961 |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2020-08-25 |
| 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 |
|---|---|---|---|
| MS | 08377719 | 05 | |
| TN | 0442678 | 05 | |
| AR | 177215134 | 05 |
| Other Name | Type Code |
|---|---|
| Galleria Home Training Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730346933 | Somerville Dialysis Center LLC | Clinic/Center | 12475 Us Highway 64, Somerville, TN 38068-6029 | 2008-05-16 |
| Street Address |
9045 HIGHWAY 64 STE 102 |
| City | LAKELAND |
| State | TN |
| Zip Code | 38002-8394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649836636 | Sunshine and Smiles, LLC. | Home Health | 160 Hidden Lake Cove, Arlington, TN 38002 | 2019-05-15 |
| 1679050934 | Alisha James-scott | Nurse Practitioner | 9025 Us-64, Lakeland, TN 38002 | 2018-07-19 |
| 1720577513 | Heavenly Senior Transport Services LLC | Non-emergency Medical Transport (VAN) | 5995 Garret Valley Ln, Arlington, TN 38002 | 2018-05-07 |
| 1962915959 | Southern Dental of Brunswick Pllc | Dentist | 8755 Chaffee Road, Suite 103, Arlington, TN 38002 | 2017-11-13 |
| 1346750619 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 5226 Airline Rd, 121, Arlington, TN 38002 | 2017-10-02 |
| 1528577210 | Celia Mae Noble | Speech-Language Pathologist | 5940 Griffin Rd, Arlington, TN 38002 | 2017-09-25 |
| 1568996064 | Joshua Davis Bravo | Physical Therapist | 5226 Airline Rd Ste 131, Arlington, TN 38002 | 2017-04-12 |
| 1952773053 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11003 Highway 70, Arlington, TN 38002 | 2015-10-28 |
| 1124490222 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11443 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
| 1245602341 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11455 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
| Find all providers in zip 38002 | ||||
| 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 |
|---|---|---|---|---|
| 1770141665 | Locuston Dialysis, LLC | Clinic/Center | 2105 Harden Blvd, Lakeland, FL 33803-5918 | 2019-06-05 |
| 1295021095 | Total Renal Care Inc | Clinic/Center | 3187 Us Highway 98 N, Lakeland, FL 33805-2103 | 2011-06-21 |
| 1649233206 | Total Renal Care Inc | Clinic/Center | 9160 Highway 64, Lakeland, TN 38002 | 2006-04-06 |
| 1376510487 | Dva Renal Healthcare Inc | Clinic/Center | 4774 S Florida Ave, Lakeland, FL 33813-2181 | 2006-03-07 |
| 1073580189 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 515 E Bella Vista St, Lakeland, FL 33805-3005 | 2006-03-07 |
| 1871007229 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 1550 Lakeland Hills Blvd, Lakeland, FL 33805-3204 | 2017-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736438 | Fresenius Medical Care Cookeville, LLC | Clinic/Center | 117 N Hickory Ave Ste 100, Cookeville, TN 38501-2424 | 2019-12-03 |
| 1245872829 | Pure Life Renal of Cool Springs, LLC | Clinic/Center | 1648 Westgate Cir Ste 100, Brentwood, TN 37027-8019 | 2019-10-15 |
| 1386298560 | Mattapan Dialysis LLC | Clinic/Center | 5144 Riverdale Rd Ste 103, Memphis, TN 38141-0271 | 2019-07-26 |
| 1114480761 | Avail Southeast Kidney Care LLC | Clinic/Center | 2008 Brookside Dr Ste 100, Kingsport, TN 37660-4640 | 2019-04-10 |
| 1609337161 | Dialysis Clinic Inc | Clinic/Center | 5653 Frist Blvd Ste 334, Hermitage, TN 37076-2064 | 2019-03-27 |
| 1972062669 | Dialyze Direct Tn, LLC | Clinic/Center | 2600 Thousand Oaks Blvd Ste 1400, Memphis, TN 38118-2401 | 2019-03-13 |
| 1336610757 | Fresenius Medical Care Columbia Franklin, LLC | Clinic/Center | 8048 Station Hill Drive, Spring Hill, TN 37174 | 2018-12-11 |
| 1770052888 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 6085 Arbury Way, Ooltewah, TN 37363 | 2018-11-19 |
| 1164907929 | Fresenius Medical Care Sandy River, LLC | Clinic/Center | 57 Commerce St, Paris, TN 38242-4917 | 2018-09-27 |
| 1003390469 | Isd Renal Inc | Clinic/Center | 1843 Foreman Dr Ste 201, Cookeville, TN 38501-5933 | 2018-09-21 |
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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.