COMMONWEALTH DIALYSIS CENTER HOME HEMO,LLC (NPI# 1154654317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154654317 |
Entity Type | Organization |
Organization Name | COMMONWEALTH DIALYSIS CENTER HOME HEMO,LLC |
Practice Address |
2100 Central Ave Suite 201 Boulder CO 80301-2838 |
Mailing Address |
601 N 99th St Suite 110 Wauwatosa WI 53226-4339 |
Practice Telephone | 3037857523 |
Mailing Telephone | 4147556330 |
Enumeration Date | 2009-09-04 |
Last Update Date | 2009-09-04 |
Authorized Official Name | MR. HERBERT S. LAWSON (CEO) |
Authorized Official Telephone | 3037857521 |
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 |
Street Address |
2100 CENTRAL AVE SUITE 201 |
City | BOULDER |
State | CO |
Zip Code | 80301-2838 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
Find all providers in zip 80301 |
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 |
---|---|---|---|---|
1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
1538136296 | Total Renal Care of Colorado Inc | Clinic/Center | 2880 Folsom St, Ste 110, Boulder, CO 80304-3739 | 2006-03-02 |
1154582823 | Mountain West Dialysis Services LLC | Clinic/Center | 2880 Folsom St, Ste 110, Boulder, CO 80304-3769 | 2008-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063028934 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 1329 W Main St Ste B, Sterling, CO 80751-2834 | 2020-09-16 |
1295340073 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 2431 Main St Ste 5, Alamosa, CO 81101-8110 | 2020-09-09 |
1861007643 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 1125 S Camino Del Rio Ste 300b, Durango, CO 81303-6886 | 2020-09-09 |
1801424379 | Fresenius Medical Care Sloans Lake, LLC | Clinic/Center | 4097 W Colfax Ave, Denver, CO 89204-1404 | 2020-03-31 |
1043859507 | Altitude Dialysis Inc. | Clinic/Center | 1209 Monroe Street, Denver, CO 80206-3445 | 2020-01-02 |
1083259634 | Fresenius Medical Care Colorado Springs, LLC | Clinic/Center | 3326 Centennial Blvd, Colorado Springs, CO 80907-4092 | 2019-11-07 |
1376025585 | Fresenius Medical Care Dialysis Services Colorado LLC | Clinic/Center | 1526 Oakridge Dr, Fort Collins, CO 80525-7305 | 2018-09-04 |
1639692288 | Southwest Rocky Mountain Dialysis, LLC | Clinic/Center | 4834 Chambers Rd, Denver, CO 80239-5152 | 2017-07-25 |
1174074223 | Milltown Dialysis LLC | Clinic/Center | 1321 S 4th Ave Ste 100, Brighton, CO 80601 | 2016-10-24 |
1285086389 | Kidney Center of Dacono LLC | Clinic/Center | 5992 Iris Pkwy, Frederick, CO 80504-6412 | 2016-07-13 |
Find all providers with the same taxonomy |
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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.