FRESENIUS KIDNEY CARE HOME DIALYSIS OF NEW MEXICO, LLC (NPI# 1073077954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073077954 |
| Entity Type | Organization |
| Organization Name | FRESENIUS KIDNEY CARE HOME DIALYSIS OF NEW MEXICO, LLC |
| Other Organization Name | FRESENIUS KIDNEY CARE HOME DIALYSIS OF NEW MEXICO |
| Practice Address |
700 Lomas Blvd Ne Three Woodward Center Albuquerque NM 87102-2568 |
| Practice Telephone | 5058425210 |
| Mailing Telephone | 5058425210 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Authorized Official Name | MARK FAWCETT (SVP AND TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| 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 |
|---|---|
| FRESENIUS KIDNEY CARE HOME DIALYSIS OF NEW MEXICO | Doing Business As Name - Organization |
| Street Address |
700 LOMAS BLVD NE THREE WOODWARD CENTER |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851363972 | Advanced Imaging LLC | Radiology | 700 Lomas Blvd Ne, 4 Woodward Center, Albuquerque, NM 87102-2568 | 2006-02-02 |
| 1457638595 | Home Dialysis of New Mexico, LLC | Clinic/Center | 700 Lomas Blvd Ne, Three Woodward Center, Albuquerque, NM 87102-2568 | 2011-11-03 |
| 1982867727 | Joseph F Hollinger Md PC | Orthopaedic Surgery | 700 Lomas Blvd Ne, Albuquerque, NM 87102-2568 | 2008-07-02 |
| 1831377670 | Mark K Crawford Md PC | Orthopaedic Surgery | 700 Lomas Blvd Ne, Three Woodward Center, Albuquerque, NM 87102-2568 | 2008-02-04 |
| 1033236518 | William J Chesnut | Orthopaedic Surgery | 700 Lomas Blvd Ne, One Woodwardcenter, Albuquerque, NM 87102-2568 | 2007-03-22 |
| 1780718155 | Orthopaedic Bone & Joint Specialists Pa | Orthopaedic Surgery | 700 Lomas Blvd Ne, One Woodward Center, Albuquerque, NM 87102-2568 | 2007-03-15 |
| 1649281510 | Mark D. Erasmus, M.d., P.C. | Neurological Surgery | 700 Lomas Blvd Ne, Three Woodward Center, Albuquerque, NM 87102-2568 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| 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 |
|---|---|---|---|---|
| 1710406301 | Dialysis Clinic Inc | Clinic/Center | 8121 Central Ave Nw, Albuquerque, NM 87121-2125 | 2017-09-14 |
| 1033634175 | Chantry Dialysis, LLC | Clinic/Center | 10410 Copper Point Way Ne, Albuquerque, NM 87123-1158 | 2017-08-10 |
| 1386016541 | Bogachiel Dialysis LLC | Clinic/Center | 5201 San Mateo Blvd Ne, Albuquerque, NM 87109-2414 | 2015-10-28 |
| 1588063143 | Albuquerque Westside, LLC | Clinic/Center | 300 Unser Blvd Nw, Albuquerque, NM 87121-1969 | 2014-08-20 |
| 1144564857 | Liberty New Mexico Partners 2, LLC | Clinic/Center | 5751 Mcmahon Blvd Nw, Albuquerque, NM 87114-5010 | 2012-11-19 |
| 1336483221 | Liberty New Mexico Partners 1, LLC | Clinic/Center | 3810 Commons Ave Ne, Albuquerque, NM 87109-5831 | 2012-11-16 |
| 1093077406 | Dialysis Clinic Inc. | Clinic/Center | 1725 Isleta Blvd, Sw, Albuquerque, NM 87105 | 2012-06-12 |
| 1275747735 | Dialysis Clinic Inc. | Clinic/Center | 905 Louisiana Blvd, Ne, Albuquerque, NM 87110-7048 | 2007-05-10 |
| 1699804807 | Unm Hospital | Clinic/Center | 2211 Lomas Blvd., Ne, Albuquerque, NM 87106-2745 | 2007-03-05 |
| 1770695678 | Bio Medical Applications of New Mexico, Inc. | Clinic/Center | 1600 Randolph Se, Albuquerque, NM 87106 | 2006-08-31 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on FRESENIUS KIDNEY CARE HOME DIALYSIS OF NEW MEXICO, 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.