DVA HEALTHCARE OF MASSACHUSETTS INC (NPI# 1124087150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124087150 |
Entity Type | Organization |
Organization Name | DVA HEALTHCARE OF MASSACHUSETTS INC |
Other Organization Name | BROOKLINE DIALYSIS |
Practice Address |
322 Washington St Brookline MA 02445-6850 |
Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
Practice Telephone | 6177347794 |
Practice Fax Number | 6177346999 |
Mailing Telephone | 6153204214 |
Mailing Fax Number | 8669443352 |
Enumeration Date | 2006-03-20 |
Last Update Date | 2020-06-17 |
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 |
EZTZ | MA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 110028113B | 05 | |
NH | 30009198 | 05 |
Other Name | Type Code |
---|---|
Brookline Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356850242 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 267 Shrewsbury St, Worcester, MA 01604-4623 | 2017-09-24 |
1811956246 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 31 Mall Rd, Suite 1b, Burlington, MA 01803-4138 | 2006-03-23 |
1891754883 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 10 Cabot Rd, Ste 103b, Medford, MA 02155-5275 | 2006-03-20 |
1962461988 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 237-b State Rd, North Dartmouth, MA 02747-2612 | 2006-03-20 |
1235198193 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 207 Highland Ave, Ste 205, Salem, MA 01970-1829 | 2006-03-20 |
1710946637 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 660 Harrison Ave, Boston, MA 02118-2304 | 2006-03-20 |
1083673990 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 330 Libbey Industrial Pkwy, Ste 900, Weymouth, MA 02189-3122 | 2006-03-20 |
1932168879 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 799 Concord Ave, Cambridge, MA 02138 | 2006-03-20 |
1851350714 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 195 Worcester St, Lower Level, Wellesley, MA 02481-5568 | 2006-03-20 |
1184683047 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 23 Warren Ave, Woburn, MA 01801-7906 | 2006-03-20 |
Street Address |
322 WASHINGTON ST |
City | BROOKLINE |
State | MA |
Zip Code | 02445-6850 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760961148 | Sarah Jane Singer | Social Worker | 322 Washington St, Brookline, MA 02445-6850 | 2018-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
Find all providers in zip 02445 |
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 |
---|---|---|---|---|
1760025217 | Leominster Dialysis LLC | Clinic/Center | 20 Commercial Rd Ste 5, Leominster, MA 01453-3339 | 2019-10-28 |
1801448725 | Bio-medical Applications of Massachusetts Inc | Clinic/Center | 10 Galaxy Pass Ste A, Sutton, MA 01590-4838 | 2019-07-11 |
1023596863 | Ara-holyoke Dialysis LLC | Clinic/Center | 36 Lower Westfield Rd Unit C-153, Holyoke, MA 01040-2749 | 2018-08-03 |
1831603638 | Auburn Health LLC | Clinic/Center | 771 Southbridge St Ste 1, Auburn, MA 01501-1345 | 2017-12-01 |
1295247955 | Bio-medical Applications of Massachusetts Inc | Clinic/Center | 867 Grafton St Ste 3, Worcester, MA 01604-2052 | 2017-11-02 |
1356850242 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 267 Shrewsbury St, Worcester, MA 01604-4623 | 2017-09-24 |
1942673819 | Bio-medical Applications of Massachusetts, Inc. | Clinic/Center | 216 Huttleston Ave, Fairhaven, MA 02719-1958 | 2015-11-02 |
1134500747 | Bio-medical Applications of Massachusetts, Inc. | Clinic/Center | 75 Newbury St, Danvers, MA 01923-1083 | 2015-06-10 |
1588067623 | Nxstage Boston South, LLC | Clinic/Center | 500 Providence Hwy Ste 1, Norwood, MA 02062-4960 | 2014-10-03 |
1164840484 | Fresenius Medical Care Cnv Marlborough, LLC | Clinic/Center | 360 Cedar Hill St Ste 3, Marlborough, MA 01752-4175 | 2014-04-03 |
Find all providers with the same taxonomy |
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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.