DVA HEALTHCARE RENAL CARE INC (NPI# 1164484234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164484234 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE RENAL CARE INC |
| Other Organization Name | SANTEE DIALYSIS |
| Practice Address |
228 Bradford Blvd Santee SC 29142-8677 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8038543133 |
| Practice Fax Number | 8038543135 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2019-06-06 |
| 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 |
ERD-0121 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 425472 | 05 |
| Other Name | Type Code |
|---|---|
| Santee Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831690098 | Dva Healthcare Renal Care Inc | Clinic/Center | 3901 N Roxboro St Ste 108, Durham, NC 27704-2181 | 2018-02-23 |
| 1639695984 | Dva Healthcare Renal Care Inc | Clinic/Center | 209 Nc Highway 111 S, Goldsboro, NC 27534-9253 | 2017-08-18 |
| 1710351531 | Dva Healthcare Renal Care Inc | Clinic/Center | 101 Davita Ln, Elizabeth City, NC 27909-3314 | 2015-11-17 |
| 1851769848 | Dva Healthcare Renal Care Inc | Clinic/Center | 9622 Kincey Ave, Huntersville, NC 28078-9140 | 2015-09-08 |
| 1447643408 | Dva Healthcare Renal Care Inc | Clinic/Center | 1274 Ruin Creek Road, Henderson, NC 27537-4168 | 2015-03-13 |
| 1205116167 | Dva Healthcare Renal Care Inc | Clinic/Center | 11308 Hawthorne Dr, Mint Hill, NC 28227-9300 | 2011-08-24 |
| 1932363744 | Dva Healthcare Renal Care Inc | Clinic/Center | 7260 E Marshville Blvd, Marshville, NC 28103-1191 | 2008-07-11 |
| 1689868739 | Dva Healthcare Renal Care Inc | Clinic/Center | 6620 Old Statesville Rd, Charlotte, NC 28269-6768 | 2007-08-31 |
| 1700815487 | Dva Healthcare Renal Care Inc | Clinic/Center | 3053 State Route 35, Ste 201, Hazlet, NJ 07730-1526 | 2006-07-03 |
| 1508895632 | Dva Healthcare Renal Care Inc | Clinic/Center | 1164 E Route 130, Burlington, NJ 08016-2954 | 2006-07-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DVA HEALTHCARE RENAL CARE INC. | 2000 16th St, Jld/Secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
228 BRADFORD BLVD |
| City | SANTEE |
| State | SC |
| Zip Code | 29142-8677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629312111 | Cvs Pharmacy | Pharmacist | 240 Planters Trace Rd, Santee, SC 29142 | 2012-11-21 |
| 1184861411 | Palmetto Eye Associates | Optometrist | 150 Plaza Circle, Santee, SC 29142 | 2009-01-08 |
| 1285890186 | Santee Family Medical Ctr | Clinic/Center | 309 Santee River Plz, Santee, SC 29142 | 2008-07-31 |
| 1205004520 | Santee Dental Care | Dentist | 190 B Plaza Circle, Santee, SC 29142 | 2008-02-20 |
| 1407032295 | Carolina Cataract Clinic | Ophthalmology | 8799 Old Highway # 6, Santee, SC 29142 | 2008-01-11 |
| 1891854949 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8910 Old Highway 6, Santee, SC 29142 | 2006-12-06 |
| 1114935475 | Medical Center of Santee LLC | Clinic/Center | 500 Bass Drive, Santee, SC 29142 | 2006-08-03 |
| 1821600917 | Melissa Kathryn Cherry | Pharmacist | 8910 Old Highway 6, Santee, SC 29142 | 2020-08-19 |
| 1407040728 | Delores Gregory Hollen | Counselor | 8799 Old Highway #6, Santee, SC 29142 | 2007-08-29 |
| 1467869776 | Vanester Ravenell | Social Worker | 1580 Bass Dr, Santee, SC 29142-0000 | 2014-07-18 |
| Find all providers in zip 29142 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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|---|---|---|---|---|
| 1376160275 | Rco of Moncks Corner, Sc LLC | Clinic/Center | 422 Drive In Lane, Moncks Corner, SC 29461-0000 | 2020-06-26 |
| 1912536384 | Traville Dialysis, LLC | Clinic/Center | 196 Sloane Garden Rd, Boiling Springs, SC 29316-1929 | 2020-04-07 |
| 1992344196 | Sunrays Dialysis, LLC | Clinic/Center | 8080 Augusta Rd, Piedmont, SC 29673-9363 | 2020-01-06 |
| 1407494362 | Dialysis Center of Carolina LLC | Clinic/Center | 325 W Wesmark Blvd Ste A, Sumter, SC 29150-1987 | 2019-12-11 |
| 1194384701 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 214 Dawson Rd, Columbia, SC 29223-1704 | 2019-06-07 |
| 1740845445 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 300 Baxter Brown Way, Summerville, SC 29486-8105 | 2019-05-08 |
| 1730644246 | Lanier Dialysis, LLC | Clinic/Center | 5552 Platt Springs Rd, Lexington, SC 29073-7518 | 2019-02-08 |
| 1568945210 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 5301 Highway 321, Gaston, SC 29053-9196 | 2018-09-10 |
| 1932604527 | Isd Renal Inc | Clinic/Center | 5506 Platt Springs Rd, Lexington, SC 29073-7518 | 2018-03-27 |
| 1740785518 | Jabine Dialysis, LLC | Clinic/Center | 3337 Highway 72-221 E, Greenwood, SC 29649-9772 | 2018-03-26 |
| 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.