RENAL LIFE LINK INC (NPI# 1144423138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144423138 |
| Entity Type | Organization |
| Organization Name | RENAL LIFE LINK INC |
| Other Organization Name | TACOMA DIALYSIS CENTER |
| Practice Address |
3401 S 19th St Tacoma WA 98405-1909 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 2535731600 |
| Practice Fax Number | 2535731601 |
| Mailing Telephone | 6153416264 |
| Mailing Fax Number | 8002972925 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | JOHN 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 3991072 | 05 |
| Other Name | Type Code |
|---|---|
| Tacoma Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1073540506 | Renal Life Link Inc | Clinic/Center | 4019 Johns Rd, Dallas, GA 30132-3420 | 2006-06-28 |
| 1932136462 | Renal Life Link Inc | Clinic/Center | 7117 S Sweetwater Rd, Lithia Springs, GA 30122-2446 | 2006-06-28 |
| Street Address |
3401 S 19TH ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| 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 |
|---|---|---|---|---|
| 1013322726 | Total Renal Care Inc | Clinic/Center | 1822 112th Street East, Suite A, Tacoma, WA 98445 | 2014-06-23 |
| 1225456379 | North Little Rock Dialysis | Clinic/Center | 1423 Pacific Ave, Tacoma, WA 98402-4203 | 2014-04-04 |
| 1841736329 | Renal Care Group Northwest, Inc. | Clinic/Center | 5825 Tacoma Mall Blvd, Suite 103, Tacoma, WA 98409-6906 | 2017-01-09 |
| 1386180859 | Renal Care Group Northwest, Inc. | Clinic/Center | 1717 S J St, Tacoma, WA 98405-4933 | 2017-01-09 |
| 1154867638 | Renal Care Group Northwest, Inc. | Clinic/Center | 1415 E 72nd St, Suite E, Tacoma, WA 98404-3344 | 2017-01-09 |
| 1275952004 | Hempstead County Dialysis | Clinic/Center | 1423 Pacific Ave, Tacoma, WA 98402-4203 | 2014-04-09 |
| 1356760185 | Miller County Dialysis | Clinic/Center | 1423 Pacific Ave, Tacoma, WA 98402-4203 | 2014-04-09 |
| 1235558073 | Osceola Dialysis | Clinic/Center | 1423 Pacific Ave, Tacoma, WA 98402-4203 | 2014-04-09 |
| 1720406721 | Ashley Dialysis | Clinic/Center | 1423 Pacific Ave, Tacoma, WA 98402-4203 | 2014-04-07 |
| 1093133001 | Bradley County Dialysis | Clinic/Center | 1423 Pacific Ave, Tacoma, WA 98402-4203 | 2014-04-07 |
| Find all providers in TACOMA | ||||
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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.