DVA RENAL HEALTHCARE INC


Address: 2344 Sterlington Rd, Monroe, LA 71203-3044
Phone: 3186990001

DVA RENAL HEALTHCARE INC (NPI# 1134188204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134188204
Entity Type Organization
Organization Name DVA RENAL HEALTHCARE INC
Other Organization Name MONROE NORTH DIALYSIS
Practice Address 2344 Sterlington Rd
Monroe
LA 71203-3044
Mailing Address 5200 Virginia Way
Ste 400 L&c
Brentwood
TN 37027-7569
Practice Telephone 3186990001
Practice Fax Number 3186990005
Mailing Telephone 6153214218
Mailing Fax Number 3032097825
Enumeration Date 2006-03-18
Last Update Date 2007-07-11
Authorized Official Name THOMAS O USILTON JR. (GROUP VICE PRESIDENT)
Authorized Official Telephone 7705417922
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
053 LA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA 1102181 05

Other Provider/Organization Names

Other Name Type Code
Monroe North Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629415609 Dva Renal Healthcare Inc Clinic/Center 300 B 22nd St South, Birmingham, AL 35233-2209 2013-05-30
1164728408 Dva Renal Healthcare Inc Clinic/Center 415 W Nc Hwy 54, Durham, NC 27713-7516 2011-02-03
1295983245 Dva Renal Healthcare Inc Clinic/Center 1919 Charlotte Ave Ste 200, Nashville, TN 37203-2245 2008-09-03
1811171440 Dva Renal Healthcare Inc Clinic/Center 300 W Broadway Ste 150, Council Bluffs, IA 51503-9077 2007-12-18
1881623585 Dva Renal Healthcare Inc Clinic/Center 271 King St, Perth Amboy, NJ 08861-4488 2006-07-03
1164451852 Dva Renal Healthcare Inc Clinic/Center 262 Texas Rd, Ste 101, Old Bridge, NJ 08857-4008 2006-07-03
1912936618 Dva Renal Healthcare Inc Clinic/Center 1200 Randolph Rd, Muhlenburg Campus, Plainfield, NJ 07060-3361 2006-07-03
1346270782 Dva Renal Healthcare Inc Clinic/Center 230 Van Sciver Pkwy, Willingboro, NJ 08046-1131 2006-07-03
1548299381 Dva Renal Healthcare Inc Clinic/Center 29 Meridian Rd, Edison, NJ 08820-2823 2006-07-02
1548299373 Dva Renal Healthcare Inc Clinic/Center 14-20 Prospect St, East Orange, NJ 07017-2238 2006-07-02

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities DVA Renal Healthcare Inc. 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117

Office Location

Street Address 2344 STERLINGTON RD
City MONROE
State LA
Zip Code 71203-3044

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477794816 Fresenius Medical Care Monroe, LLC Clinic/Center 2344 Sterlington Rd, Monroe, LA 71203-3044 2009-03-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801408083 Bwilling Counseling, LLC Counselor 1500 North 19th Street, Monroe, La 71201, LA 71203 2020-08-19
1427683234 Alexander Lee Forehan Specialist/Technologist 4099 Northeast Dr, Monroe, LA 71203 2020-03-12
1568923092 Northeast Louisiana Veteran's Home Department of Veterans Affairs (VA) Pharmacy 6700 Highway 165n, Monroe, LA 71203 2019-03-27
1144708520 Cassie Lord Pharmacist Brookshires, 7920 Desiard Street, Monroe, LA 71203 2018-07-30
1982196465 Emmanuel D Hardy Case Manager/Care Coordinator 645 Hwy 80 East, Monroe, LA 71203 2018-05-31
1831689652 Shereka Ruenet Devall Counselor 202 Lincoln Rd, Monroe, LA 71203 2018-05-17
1356830541 David Whitney Bass Counselor 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 2018-05-03
1851821912 Niatra S Bell Counselor 645 Highway 80 East, Monroe, LA 71203 2017-06-12
1528597523 Amazing Transport, LLC Non-emergency Medical Transport (VAN) 6300 Mosswood Dr., Monroe, LA 71203 2017-06-05
1326581737 Charla Gix Case Manager/Care Coordinator 645 Us-80, Monroe, LA 71203 2016-12-02
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568861359 Total Renal Care Inc Clinic/Center 415 S Telegraph Rd, Monroe, MI 48161-1611 2014-08-18
1528478609 Puget Sound Kidney Centers Clinic/Center 18121 149th Street Se, Monroe, WA 98272 2014-04-29
1285988238 Parker Dialysis LLC Clinic/Center 225 Plaza Dr, Monroe, GA 30655-3184 2012-10-30
1912287756 Fresenius Medical Care Monroe LLC Clinic/Center 1710 Southern Avenue, Monroe, LA 71202-4543 2011-08-25
1073625885 Bio-medical Applications of Georgia Inc. Clinic/Center 299 Plaza Dr, Monroe, GA 30655-3184 2006-08-31
1679685408 Bio-medical Applications of North Carolina, Inc. Clinic/Center 1338 E Sunset Dr, Monroe, NC 28112-4323 2006-08-31
1326150160 Bio-medical Applications of Louisiana, LLC Clinic/Center 1501 Southern Ave, Monroe, LA 71202-4543 2006-08-31
1982716718 Bio-medical Applications of Louisiana, LLC Clinic/Center 711 Wood St Ste B, Monroe, LA 71201-7564 2006-08-31
1184739922 Bio-medical Applications of Michigan, Inc. Clinic/Center 992 South Monroe St., Monroe, MI 48161 2006-08-20
1104930023 Nephron Corporation Clinic/Center 710 Breedlove Dr, Monroe, GA 30655-2054 2006-08-18
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Competitor

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City MONROE
Zip Code 71203

Improve Information

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Dataset Information

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.

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