DVA HEALTHCARE RENAL CARE, INC. (NPI# 1154399491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154399491 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE RENAL CARE, INC. |
| Other Organization Name | WEST TALLAHASSEE DIALYSIS |
| Practice Address |
5857 W Tennessee St Tallahassee FL 32304-9218 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8503500002 |
| Practice Fax Number | 8503500120 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
|---|---|---|---|
| GA | 000855709A | 05 | |
| FL | 200518202 | 05 | |
| GA | 000855709B | 05 |
| Other Name | Type Code |
|---|---|
| West Tallahassee Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821500661 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 5601 Tuckaseegee Rd, Charlotte, NC 28208-2525 | 2017-11-02 |
| 1477517738 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 4805 1st St N, Arlington, VA 22203-2603 | 2006-04-13 |
| 1801850409 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 523 W 7th St, Weatherford, TX 76086-1536 | 2006-04-12 |
| 1346200334 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 111 Cherry Hill Rd, Baltimore, MD 21225-1392 | 2006-03-24 |
| 1003875683 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 615 Comfort Ln, Monroe, NC 28112-5599 | 2006-03-21 |
| 1043279110 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 2817 Napoleon Ave, New Orleans, LA 70115-6915 | 2006-03-18 |
| 1013986389 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 821 Lincoln Hwy, Fairview Heights, IL 62208-2216 | 2006-03-17 |
| 1376511618 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 1711 Alton Rd, Miami Beach, FL 33139-2411 | 2006-03-11 |
| 1578531802 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 878 Strong Rd, Quincy, FL 32351-5243 | 2006-03-11 |
| 1073581310 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 11306 N 53rd St, Temple Terrace, FL 33617-2214 | 2006-03-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | DVA Healthcare Renal Care, Inc. | Jld/Secgovfin, 2000 16th Street, Denver, CO 80202 |
| Oregon Corporations, Companies and Business Names | DVA HEALTHCARE RENAL CARE, INC. | Jld/Secgovfin, 2000 16th Street, Denver, CO 80202 |
| Iowa Business Entities | DVA HEALTHCARE RENAL CARE, INC. | Jldsecgovfin 2000 16th Street, Denver, CO 80202 |
| Massachusetts Corporations | DVA HEALTHCARE RENAL CARE, INC. | 2000 16th Street, Denver, CO 80202 |
| Oklahoma Business Registrations | DVA HEALTHCARE RENAL CARE, INC. | 601 Hawaii St, El Segundo, CA 90245 |
| Street Address |
5857 W TENNESSEE ST |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32304-9218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214946 | Jamel V Chandler | Adult Companion | 2665 Mission Road., Tallahassee, FL 32304 | 2020-08-05 |
| 1578198248 | Thomson Ivins | Counselor | 175 Geddie Rd, Tallahassee, FL 32304 | 2020-03-03 |
| 1508210022 | Angela Nechele Hall | Physical Therapist | 1329 Abraham Street, Tallahassee, FL 32304 | 2016-04-21 |
| 1780064329 | Bennie Thompkins | Dentist | 535 Apple Yard Dr, Tallahassee, FL 32304 | 2015-06-08 |
| 1104241314 | Osita Abanah | Pharmacist | 1819 West Tennessee St, Tallahassee, FL 32304 | 2014-02-25 |
| 1437584265 | Kristan Aliesha Morgan | Nurse Practitioner | 501 Capital Circle Ne, Tallahassee, FL 32304 | 2013-09-11 |
| 1649550047 | Bond Community Health Center, Inc. | Internal Medicine | 1704 Joe Lewis Street, Tallahassee, FL 32304 | 2011-08-17 |
| 1639309842 | Bond Community Health Center | Internal Medicine | 2729-8 Municipal Way, Kay Freeman Health Center, Tallahassee, FL 32304 | 2009-07-22 |
| 1104016401 | Elder Care Services, Inc. | Homemaker | 2518 W Tennessee St, Tallahassee, FL 32304 | 2007-08-01 |
| 1760548234 | Patricia Janice Mitchell | Adult Companion | 4177 Pleasant Drive, Tallahassee, FL 32304 | 2006-12-29 |
| Find all providers in zip 32304 | ||||
| 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 |
|---|---|---|---|---|
| 1043707730 | Total Renal Care Inc | Clinic/Center | 2710 Allen Rd, Tallahassee, FL 32312-2607 | 2018-04-18 |
| 1801305099 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2600 Centennial Pl, Tallahassee, FL 32308-0582 | 2017-09-20 |
| 1902277445 | Artesia Dialysis LLC | Clinic/Center | 2417 Mill Creek Ct, Ste 3, Tallahassee, FL 32308-4395 | 2015-10-09 |
| 1891763132 | Dva Renal Healthcare, Inc. | Clinic/Center | 2410 S Adams St, Tallahassee, FL 32301-6325 | 2006-03-11 |
| 1265400501 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 1607 Physicians Dr, Tallahassee, FL 32308-4620 | 2006-03-11 |
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|---|---|---|---|---|
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| 1750992814 | Swain Dialysis Renal Center | Clinic/Center | 1923 Nw 43rd St, Miami, FL 33142-4777 | 2020-08-12 |
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| 1285250522 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 775 Gateway Dr Ste 1010, Altamonte Springs, FL 32714-1524 | 2020-06-23 |
| 1992321244 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 | 2020-06-23 |
| 1023630886 | Fresenius Medical Care Apollo Beach, LLC | Clinic/Center | 3002 E College Ave, Ruskin, FL 33570-5220 | 2020-05-14 |
| 1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
| 1487274734 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32304 |
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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.