DECKLUND DIALYSIS LLC (NPI# 1063941607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063941607 |
| Entity Type | Organization |
| Organization Name | DECKLUND DIALYSIS LLC |
| Other Organization Name | CONCORD TOWNSHIP DIALYSIS |
| Practice Address |
265 Wilmington W Chester Pike Chadds Ford PA 19317-9039 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 6105586965 |
| Practice Fax Number | 6105587806 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2020-08-07 |
| Authorized Official Name | JOHN D 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 |
|---|---|---|---|
| PA | 103493170 | 05 |
| Other Name | Type Code |
|---|---|
| Concord Township Dialysis | Doing Business As Name - Organization |
| Street Address |
265 WILMINGTON W CHESTER PIKE |
| City | CHADDS FORD |
| State | PA |
| Zip Code | 19317-9039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585102 | Devrick Jamal Cliett Sr. | Technician/Technologist | 225 Wilmington Pike, Suite 200, Chadds Ford, PA 19317 | 2019-12-12 |
| 1891277620 | Donald C. Cameron | General Practice | 718 Kennett Pike, Chadds Ford, PA 19317 | 2018-08-29 |
| 1780105999 | Kathleen Breslin | Clinical Neuropsychologist | 5 Christy Dr Ste 207, Chadds Ford, PA 19317 | 2017-06-28 |
| 1750823951 | Yildiz Omar Shah | Dentist | 8 Ponds Edge Dr Ste 2, Chadds Ford, PA 19317 | 2016-11-06 |
| 1477003531 | Dental Implant & Periodontal Surgeons of Maine Line, P.C. | Dentist | 107 Commons Ct, Chadds Ford, PA 19317 | 2016-10-12 |
| 1528434495 | Judith Js Ochs | Pediatrics | 1213 Fairville Road, Chadds Ford, PA 19317 | 2015-08-14 |
| 1700294626 | Gabrielle Van Heest | Behavioral Analyst | 920 Baltimore Pike, Chadds Ford, PA 19317 | 2014-07-23 |
| 1497199483 | Jill Pagliei LLC | Chiropractor | 220 Wilmington Pike, Suite 4, Chadds Ford, PA 19317 | 2013-04-22 |
| 1285832543 | Kevin Sperling | Internal Medicine | 601 Chadds Ford Drive, Suite 100, Chadds Ford, PA 19317 | 2007-07-10 |
| 1164554804 | Lee Anderson | Psychologist | 260 Kennett Pike, Chadds Ford, PA 19317 | 2007-03-09 |
| Find all providers in zip 19317 | ||||
| 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 |
|---|---|---|---|---|
| 1841754264 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 291 Wilmington W Chester Pike, Chadds Ford, PA 19317-9088 | 2019-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157123 | Fresenius Medical Care Southwest Pittsburgh, LLC | Clinic/Center | 3 Robinson Plz Ste 110, Pittsburgh, PA 15205-1018 | 2020-08-31 |
| 1295344307 | Isd Renal Inc | Clinic/Center | 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 | 2020-07-24 |
| 1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
| 1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
| 1992323976 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 300 Cedar Ridge Dr Ste 302, Pittsburgh, PA 15205-1159 | 2020-07-07 |
| 1750906574 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 9333 State Route 61, Coal Township, PA 17866-4170 | 2020-06-09 |
| 1407479124 | Dialysis Clinic Inc | Clinic/Center | 1603 Carmody Ct Ste 103, Sewickley, PA 15143-8859 | 2020-05-28 |
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1336774181 | Elkonson Dialysis LLC | Clinic/Center | 350 Tri County Ln, Rostraver Township, PA 15012-1990 | 2020-03-11 |
| 1417599168 | Renal Treatment Centers - Mid-atlantic Inc | Clinic/Center | 8000c Derry St, Harrisburg, PA 17111-5200 | 2019-10-15 |
| Find all providers with the same taxonomy | ||||
| City | CHADDS FORD |
| Zip Code | 19317 |
Please comment or provide details below to improve the information on DECKLUND DIALYSIS LLC.
| 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.