CARILLON DIALYSIS, LLC (NPI# 1134289234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134289234 |
| Entity Type | Organization |
| Organization Name | CARILLON DIALYSIS, LLC |
| Practice Address |
830 Park Ave Huntington NY 11743-4543 |
| Practice Telephone | 6312715800 |
| Mailing Telephone | 6316300398 |
| Mailing Fax Number | 6316300399 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2016-03-03 |
| Authorized Official Name | JOSEPH CARILLO (ADMINISTRATOR) |
| Authorized Official Telephone | 6312715800 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CARILLON DIALYSIS, LLC | 120 Main Street, Huntington, Ny 11743 |
| Street Address |
830 PARK AVE |
| City | HUNTINGTON |
| State | NY |
| Zip Code | 11743-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265429856 | Carillon Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 830 Park Ave, Huntington, NY 11743-4543 | 2005-09-29 |
| 1770111833 | Jillian Yacenda | Registered Nurse | 830 Park Ave, Huntington, NY 11743-4543 | 2020-04-01 |
| 1770137176 | Anupama Beeraka | Physical Therapy Assistant | 830 Park Ave, Huntington, NY 11743-4543 | 2019-07-25 |
| 1124425509 | Jacqueline Corvino | Physician Assistant | 830 Park Ave, Huntington, NY 11743-4543 | 2014-12-01 |
| 1710267679 | Danielle Marie Park | Occupational Therapy Assistant | 830 Park Ave, Huntington, NY 11743-4543 | 2011-08-24 |
| 1023345618 | Yu Jen Lai, Md.,pllc | Skilled Nursing Facility | 830 Park Ave, Huntington, NY 11743-4543 | 2009-11-03 |
| 1245407220 | Carillon Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 830 Park Ave, Huntington, NY 11743-4543 | 2008-05-09 |
| 1083751879 | Anthony J Antonucci M D P C | Internal Medicine | 830 Park Ave, Carillon Nursing and Rehabilitation Center, Huntington, NY 11743-4543 | 2007-01-31 |
| 1811007743 | Anthony J Antonucci | Internal Medicine | 830 Park Ave, Carillon Nursing and Rehabilitation Center, Huntington, NY 11743-4543 | 2006-08-30 |
| 1245248665 | Eileen Bruckner | Physical Therapist | 830 Park Ave, Huntington, NY 11743-4543 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896477 | Peter C Gaal | Behavioral Analyst | 47 N. Woodhull Road, 2nd Floor, Huntington, NY 11743 | 2019-11-25 |
| 1902389299 | Taylor Bliss Dambrosio | Early Intervention Provider Agency | 38 Carnegie Ave, Huntington, NY 11743 | 2018-09-12 |
| 1639601750 | Speech and Hearing Services | Clinic/Center | 17 Brooks Ave Unit1, Huntington, NY 11743 | 2017-03-29 |
| 1174983456 | Helene Falcone | Registered Nurse | 264 W. 22nd St., Oakwood Primary Center, Hunt., NY 11743 | 2016-03-01 |
| 1124499470 | Thomas Hlenski | Social Worker | 4 Richard Lane, Huntington, NY 11743 | 2015-10-13 |
| 1174921308 | Jeanne Ginsberg | Counselor | 81 Knollwood Avenue, Huntington, NY 11743 | 2014-12-22 |
| 1770980534 | Emily Ann Sombke | Physician Assistant | 249 Manor Rd., Huntington, NY 11743 | 2014-11-21 |
| 1881096162 | Applied Health Chiropractic | Chiropractor | 12 Ash Pl, Huntington, NY 11743 | 2014-09-18 |
| 1265857643 | Ccs Medical Practice, Pllc | Public Health or Welfare | 17 Southdown Road, Huntington, NY 11743 | 2014-02-21 |
| 1255760682 | Ekaterina Femminella | Acupuncturist | 181 Main St Ste 105, Huntington, NY 11743 | 2013-11-06 |
| Find all providers in zip 11743 | ||||
| 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 |
|---|---|---|---|---|
| 1457755431 | Fms Cabell Huntington Dialysis Centers, LLC | Clinic/Center | 1500 17th St, Huntington, WV 25701-3956 | 2014-10-20 |
| 1962643809 | Fms Cabell Huntington Dialysis Centers, LLC | Clinic/Center | 1690 Medical Center Dr., Huntington, WV 25701-3800 | 2009-03-23 |
| 1942315791 | Rcg Indiana LLC | Clinic/Center | 2859 Northpark Ave, Suite 112, Huntington, IN 46750-7964 | 2006-08-20 |
| 1114972353 | Isd Renal Inc | Clinic/Center | 3040 W Park Dr, Huntington, IN 46750-8956 | 2006-05-24 |
| 1306267257 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 2859 Northpark Ave, Suite 112, Huntington, IN 46750-7964 | 2013-12-19 |
| 1437489432 | Fresenius Medical Care Himg Dialysis Center, LLC | Clinic/Center | 5170 Us Route 60 E, Huntington, WV 25705-2065 | 2010-01-13 |
| 1922283480 | Huntington Hospital Association | Clinic/Center | 270 Park Ave, Huntington, NY 11743 | 2008-01-03 |
| 1316069701 | Grayson Dialysis and Kidney Center | Clinic/Center | 1656 13th Ave, Huntington, WV 25701-3829 | 2007-04-04 |
| 1740359256 | Cabell Huntington Hospital Inc | Clinic/Center | 1340 Hal Greer Blvd, Huntington, WV 25701-3800 | 2006-11-07 |
| 1508845322 | Huntington Hospital Association | Clinic/Center | 270 Park Ave, Huntington, NY 11743-2787 | 2006-01-11 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 11743 |
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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.