DVA HEALTHCARE OF MARYLAND LLC (NPI# 1154381663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154381663 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE OF MARYLAND LLC |
| Other Organization Name | WHITESQUARE DIALYSIS |
| Practice Address |
1 Nashua Ct Ste E Baltimore MD 21221-3131 |
| Mailing Address |
5200 Virginia Way L & C Department Brentwood TN 37027-7569 |
| Practice Telephone | 4106875580 |
| Practice Fax Number | 4106878559 |
| Mailing Telephone | 6153204214 |
| Mailing Fax Number | 8669443352 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | Y |
| Parent Organization Name | DAVITA INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
E2523 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007727620012 | 05 | |
| MD | 523504900 | 05 |
| Other Name | Type Code |
|---|---|
| Whitesquare Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144280736 | Dva Healthcare of Maryland LLC | Clinic/Center | 14 Commerce St, Dundalk, MD 21222-4307 | 2006-03-27 |
| 1629038252 | Dva Healthcare of Maryland LLC | Clinic/Center | 8040 Georgia Ave, Suite 150, Silver Spring, MD 20910-4959 | 2006-03-27 |
| 1427018944 | Dva Healthcare of Maryland LLC | Clinic/Center | 1423 Clarkview Rd, Suite 500, Baltimore, MD 21209-2134 | 2006-03-27 |
| 1164482089 | Dva Healthcare of Maryland LLC | Clinic/Center | 22 S Howard St, Baltimore, MD 21201-2505 | 2006-03-24 |
| 1518927391 | Dva Healthcare of Maryland LLC | Clinic/Center | 8037 Gov Ritchie Hwy, Ste A, Pasadena, MD 21122-7121 | 2006-03-24 |
| 1568422459 | Dva Healthcare of Maryland LLC | Clinic/Center | 10401 Hospital Dr Ste G2, Clinton, MD 20735-3113 | 2006-03-24 |
| 1023077328 | Dva Healthcare of Maryland LLC | Clinic/Center | 920 E 25th St, Baltimore, MD 21218-5503 | 2006-03-23 |
| 1760442925 | Dva Healthcare of Maryland LLC | Clinic/Center | 2225 Old Emmorton Rd, Ste 105, Bel Air, MD 21015-6129 | 2006-03-23 |
| 1023078466 | Dva Healthcare of Maryland LLC | Clinic/Center | 140 Thomas Johnson Dr, Ste100, Frederick, MD 21702-4475 | 2006-03-27 |
| Street Address |
1 NASHUA CT STE E |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21221-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760992879 | Mercy First Healthcare Solutions | Home Health | 1633 Renaissance Drive, Baltimore, MD 21221 | 2017-10-03 |
| 1659801686 | Preferred Mobility, LLC | Durable Medical Equipment & Medical Supplies | 7110 Golden Ring Rd, Suite 102, Essex, MD 21221 | 2017-06-13 |
| 1588116594 | Beverly Hogan | Speech-Language Pathologist | 8839 Kelso Drive Suite A & B, Essex, MD 21221 | 2016-10-26 |
| 1851764740 | Walgreens#2446 | Clinic/Center | 6 South Marlyn Ave, Essex, MD 21221 | 2015-11-02 |
| 1982070413 | Sonay Naqib | Dentist | 1346 Eastern Boulevard, Essex, MD 21221 | 2015-08-19 |
| 1225423411 | Vivid Home Care Service Inc | Home Health | 1111 Country Terrace Road, Apartment E, Essex, MD 21221 | 2015-04-03 |
| 1831584184 | Kfm Inc | Pharmacy | 901 Eastern Blvd, Suite 100, Essex, MD 21221 | 2015-04-03 |
| 1063811420 | Eliza Chappelle | Pharmacist | 500 Eastern Avenue, Baltimore, MD 21221 | 2014-08-21 |
| 1316350549 | Stephen Riggin Jr. | Pharmacist | 500 Eastern Ave., Essex, MD 21221 | 2014-06-05 |
| 1891118899 | Shiphrah Birthing Services | Midwife | 617 Stemmers Run Rd Ste E, Essex, MD 21221 | 2014-01-27 |
| Find all providers in zip 21221 | ||||
| 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 |
|---|---|---|---|---|
| 1639660962 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 5315 York Rd, Baltimore, MD 21212-3830 | 2018-05-22 |
| 1851740096 | Northpoint Dialysis Clinic LLC | Clinic/Center | 1046 North Point Road, Baltimore, MD 21224 | 2016-06-08 |
| 1699121517 | Fresenius Medical Care Nw Baltimore, LLC | Clinic/Center | 2 Hamill Rd Ste 200, Baltimore, MD 21210-1817 | 2016-05-10 |
| 1689035693 | Baltimore County Dialysis, LLC | Clinic/Center | 407 N Caroline St Ste 100, Baltimore, MD 21231-1003 | 2016-03-18 |
| 1346621554 | Kidney Home Center, LLC | Clinic/Center | 200 Saint Paul St Ste 5, Baltimore, MD 21202-2025 | 2015-06-12 |
| 1942623129 | Braidwood Dialysis LLC | Clinic/Center | 200 Saint Paul Pl, Suite 5, Baltimore, MD 21202-2004 | 2014-01-24 |
| 1114351863 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 1046 S Northpoint Rd, Baltimore, MD 21224-3307 | 2013-08-29 |
| 1821330952 | Fresenius Medical Care Essex Dundalk, LLC | Clinic/Center | 1107 N Point Blvd Ofc Park, Suite 201, Baltimore, MD 21224-3420 | 2013-03-27 |
| 1306112693 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 4700 Hartford Road, Baltimore, MD 21214 | 2012-03-30 |
| 1073720827 | Bio Medical Applications of Maryland Inc | Clinic/Center | 1104 Walters Ave, Baltimore, MD 21239 | 2007-05-17 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on DVA HEALTHCARE OF MARYLAND 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.