KIDNEY CARE SERVICES, LLC (NPI# 1093900763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093900763 |
| Entity Type | Organization |
| Organization Name | KIDNEY CARE SERVICES, LLC |
| Other Organization Name | KIDNEY CARE SERVICES OF BROOKVILLE |
| Practice Address |
477 Route 28 Brookville PA 15825-7159 |
| Mailing Address |
635 Maple Ave Box B Du Bois PA 15801-2376 |
| Practice Telephone | 8143754321 |
| Practice Fax Number | 8143756157 |
| Mailing Telephone | 8143754321 |
| Mailing Fax Number | 8143756157 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |
| Authorized Official Name | DR. SANJEEV ANAND (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8143717590 |
| Authorized Official Credential | M.D. |
| 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 |
| Other Name | Type Code |
|---|---|
| Kidney Care Services of Brookville | Other Name - Individual/Organization |
| Street Address |
477 ROUTE 28 |
| City | BROOKVILLE |
| State | PA |
| Zip Code | 15825-7159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366431553 | Thomas Dominic Sneeringer | Family Medicine | 477 Route 28, Brookville, PA 15825-7159 | 2005-10-19 |
| 1043779382 | Katrina Anderson | Occupational Therapy Assistant | 477 Route 28, Brookville, PA 15825-7159 | 2019-03-17 |
| 1225558943 | Alyssa J Byerly-heschke | Physician Assistant | 477 Route 28, Brookville, PA 15825 | 2017-06-23 |
| 1619353174 | Ashley Bevak | Physician Assistant | 477 Route 28, Brookville, PA 15825-7159 | 2015-08-07 |
| 1316291222 | Primary Care Associates of Western Pa. | Clinic/Center | 477 Route 28, Brookville, PA 15825-7159 | 2012-10-30 |
| 1649303041 | Heather D Calhoun | Physician Assistant | 477 Route 28, Brookville, PA 15825-7159 | 2007-03-14 |
| 1952493629 | Primary Care Associates of Western Pennsylvania PC | Family Medicine | 477 Route 28, Brookville, PA 15825-7159 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902265424 | Tara Rickard | Counselor | 16 Richards St, Brookville, PA 15825 | 2016-02-11 |
| 1124432554 | Stephen Sheer | Specialist/Technologist | 117b Valley St, Brookville, PA 15825 | 2014-06-13 |
| 1962814830 | Wendy Reynolds | Registered Nurse | 218 Jefferson Street, Brookville, PA 15825 | 2014-05-28 |
| 1023311461 | Shana Stevens | Nurse Anesthetist, Certified Registered | Brookville Hospital, Brookville, PA 15825 | 2010-12-07 |
| 1659538668 | Amanda M Chamberlin | Family Medicine | 477 Rt 28, Brookville, PA 15825 | 2008-05-19 |
| 1609088111 | Roberta Justine Ganoe | Occupational Therapist | 1334 Mays Road, Brookville, PA 15825 | 2007-05-04 |
| 1538387634 | Hallie Smith Carlton | Counselor | 115 Mabon Street, Brookville, PA 15825 | 2007-04-23 |
| 1841348927 | Sarah M Kirk | Specialist/Technologist | 96 Jenks St., Brookville, PA 15825 | 2007-01-08 |
| 1396783783 | Denny Tang | Surgery | 240 Allegheny Blvd Ste F, Brookville, PA 15825 | 2006-06-04 |
| 1932169828 | Susan Ann Connor | Family Medicine | 240 Allegheny Blvd., Ste. F, Brookville, PA 15825 | 2006-03-24 |
| Find all providers in zip 15825 | ||||
| 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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| 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 | BROOKVILLE |
| Zip Code | 15825 |
Please comment or provide details below to improve the information on KIDNEY CARE SERVICES, 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.