RENAL LIFE LINK INC (NPI# 1073540506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073540506 |
| Entity Type | Organization |
| Organization Name | RENAL LIFE LINK INC |
| Other Organization Name | PAULDING DIALYSIS |
| Practice Address |
4019 Johns Rd Dallas GA 30132-3420 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7704453571 |
| Practice Fax Number | 7704453898 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2018-09-21 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
ESRD001083 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000619451A | 05 |
| Other Name | Type Code |
|---|---|
| Paulding Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144423138 | Renal Life Link Inc | Clinic/Center | 3401 S 19th St, Tacoma, WA 98405-1909 | 2007-06-07 |
| 1295821304 | Renal Life Link Inc | Clinic/Center | 6246 W 95th St, Oak Lawn, IL 60453-2702 | 2006-10-05 |
| 1215023338 | Renal Life Link Inc | Clinic/Center | 8109 South Western Ave, Chicago, IL 60620-5939 | 2006-10-05 |
| 1104921923 | Renal Life Link Inc | Clinic/Center | 7100 Airline Dr, Metairie, LA 70003-5950 | 2006-09-14 |
| 1619079647 | Renal Life Link Inc | Clinic/Center | 2880 W Airline Hwy, La Place, LA 70068-2922 | 2006-09-01 |
| 1932118403 | Renal Life Link Inc | Clinic/Center | 324 S 4th St, Marion, IL 62959-1241 | 2006-08-05 |
| 1609885185 | Renal Life Link Inc | Clinic/Center | 1151 Route 14 W, Benton, IL 62812-1500 | 2006-08-05 |
| 1467461947 | Renal Life Link Inc | Clinic/Center | 1231 State Route 161, Centralia, IL 62801-6739 | 2006-08-05 |
| 1326072638 | Renal Life Link Inc | Clinic/Center | 4102 N. Water Tower Place, Mount Vernon, IL 62864 | 2006-07-10 |
| 1932136462 | Renal Life Link Inc | Clinic/Center | 7117 S Sweetwater Rd, Lithia Springs, GA 30122-2446 | 2006-06-28 |
| Street Address |
4019 JOHNS RD |
| City | DALLAS |
| State | GA |
| Zip Code | 30132-3420 |
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| 1255613410 | Matthew Lerandal Talley | Chiropractor | 1305 Cedarcrest Road Suite#111, Dallas, GA 30132 | 2011-09-14 |
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| Find all providers in zip 30132 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1215405030 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 112 Village Walk, Dallas, GA 30132-5576 | 2018-11-09 |
| 1467920546 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1510 Lower Dallas Hwy, Dallas, NC 28034-9474 | 2018-11-07 |
| 1831681824 | Usrc East Dallas, LLC | Clinic/Center | 11255 Garland Rd Ste 1160, Dallas, TX 75218-2573 | 2018-06-05 |
| 1255835286 | Ashdow Dialysis LLC | Clinic/Center | 4405 Ross Ave, Dallas, TX 75204-5013 | 2018-03-23 |
| 1497128292 | Greater Irving II Regional Dialysis Center LLC | Clinic/Center | 1070 N Westmoreland Rd, Dallas, TX 75211-2444 | 2015-11-03 |
| 1053797704 | Crowder Dialysis LLC | Clinic/Center | 13340 Preston Rd, Dallas, TX 75240-5287 | 2015-08-05 |
| 1467852186 | Gadc LLC | Clinic/Center | 3417 Gaston Ave Ste 180, Dallas, TX 75246-2016 | 2014-08-29 |
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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.