DVA RENAL HEALTHCARE INC (NPI# 1164495461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164495461 |
| Entity Type | Organization |
| Organization Name | DVA RENAL HEALTHCARE INC |
| Other Organization Name | ENSLEY DIALYSIS |
| Practice Address |
2630 Avenue E Ensley Dialysis Birmingham AL 35218-2163 |
| Mailing Address |
5200 Virginia Way Ste. 400 Brentwood TN 37027-7569 |
| Practice Telephone | 2057861371 |
| Practice Fax Number | 2057865175 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2018-12-12 |
| 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 |
|---|---|---|---|
| AL | DIA2585D | 05 |
| Other Name | Type Code |
|---|---|
| Ensley Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629415609 | Dva Renal Healthcare Inc | Clinic/Center | 300 B 22nd St South, Birmingham, AL 35233-2209 | 2013-05-30 |
| 1164728408 | Dva Renal Healthcare Inc | Clinic/Center | 415 W Nc Hwy 54, Durham, NC 27713-7516 | 2011-02-03 |
| 1295983245 | Dva Renal Healthcare Inc | Clinic/Center | 1919 Charlotte Ave Ste 200, Nashville, TN 37203-2245 | 2008-09-03 |
| 1811171440 | Dva Renal Healthcare Inc | Clinic/Center | 300 W Broadway Ste 150, Council Bluffs, IA 51503-9077 | 2007-12-18 |
| 1881623585 | Dva Renal Healthcare Inc | Clinic/Center | 271 King St, Perth Amboy, NJ 08861-4488 | 2006-07-03 |
| 1164451852 | Dva Renal Healthcare Inc | Clinic/Center | 262 Texas Rd, Ste 101, Old Bridge, NJ 08857-4008 | 2006-07-03 |
| 1912936618 | Dva Renal Healthcare Inc | Clinic/Center | 1200 Randolph Rd, Muhlenburg Campus, Plainfield, NJ 07060-3361 | 2006-07-03 |
| 1346270782 | Dva Renal Healthcare Inc | Clinic/Center | 230 Van Sciver Pkwy, Willingboro, NJ 08046-1131 | 2006-07-03 |
| 1548299381 | Dva Renal Healthcare Inc | Clinic/Center | 29 Meridian Rd, Edison, NJ 08820-2823 | 2006-07-02 |
| 1548299373 | Dva Renal Healthcare Inc | Clinic/Center | 14-20 Prospect St, East Orange, NJ 07017-2238 | 2006-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DVA Renal Healthcare Inc. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
2630 AVENUE E ENSLEY DIALYSIS |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35218-2163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069486 | Andrea Lashon Lane | Counselor | 2008 21st Street, Ensley, AL 35218 | 2020-07-06 |
| 1407481559 | Ashley Jasmine Pauldin | Nurse Practitioner | 2010 Avenue F Ensley, Birmingham, AL 35218 | 2020-03-10 |
| 1922194968 | Rosalyn L Morgan | Pediatrics | 2010-avenue F, Birmingham, AL 35218 | 2006-10-05 |
| 1225546641 | Sarah Elizabeth Guiler | Nurse Practitioner | 2010 Avenue F, Ensley, AL 35218 | 2018-01-19 |
| 1598764698 | Leesha Michelle Ellis-cox | Psychiatry & Neurology | 1701 Avenue D, Birmingham, AL 35218-1532 | 2005-07-20 |
| 1659548444 | Western Mental Health Center Inc | Clinic/Center | 1701 Avenue D, Birmingham, AL 35218-1532 | 2008-05-12 |
| 1972689032 | Terrell Smith Dorman | Social Worker | 1701 Avenue D, Birmingham, AL 35218-1532 | 2006-10-31 |
| 1336224963 | Wolfram Glaser | Psychiatry & Neurology | 1701 Avenue D, Birmingham, AL 35218-1532 | 2006-10-25 |
| 1881776649 | Western Mental Health Center, Inc. | Clinic/Center | 1701 Avenue D, Birmingham, AL 35218-1532 | 2006-10-20 |
| 1558670810 | Renal Treatment Centers- Southeast, Lp | Clinic/Center | 1809 Avenue H, Ensley, AL 35218-1542 | 2010-10-04 |
| Find all providers in zip 35218 | ||||
| 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 |
|---|---|---|---|---|
| 1346768603 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 105 Inverness Cors, Birmingham, AL 35242-3762 | 2017-09-06 |
| 1952764615 | Fresenius Medical Care Trussville, LLC | Clinic/Center | 3671 Roosevelt Blvd, Birmingham, AL 35235-3193 | 2016-03-31 |
| 1225411739 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 2024 4th Ave S Ste 100, Birmingham, AL 35233-2046 | 2015-07-01 |
| 1992134340 | Renal Treatment Centers Southeast Lp | Clinic/Center | 5406 Highway 280, Suite D107, Birmingham, AL 35242-6592 | 2013-11-06 |
| 1629415609 | Dva Renal Healthcare Inc | Clinic/Center | 300 B 22nd St South, Birmingham, AL 35233-2209 | 2013-05-30 |
| 1538443619 | Dialysis Newco Inc | Clinic/Center | 3201 3rd Ave S, Birmingham, AL 35222-1707 | 2011-10-06 |
| 1598068660 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 9540 Parkway E, Birmingham, AL 35215-8311 | 2010-12-13 |
| 1659674190 | Renal Treatment Centers- Southeast Lp | Clinic/Center | 3007 27th St N, Birmingham, AL 35207 | 2010-12-06 |
| 1881903227 | Renal Treatment Centers- Southeast, Lp | Clinic/Center | 300 22nd St S, Birmingham, AL 35233-2209 | 2010-10-04 |
| 1992020655 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 1004 Forestdale Blvd, Birmingham, AL 35214-3832 | 2010-04-06 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35218 |
Please comment or provide details below to improve the information on DVA RENAL HEALTHCARE INC.
| 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.