VITAL LIFE DIALYSIS CENTER, LLC (NPI# 1194130252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194130252 |
| Entity Type | Organization |
| Organization Name | VITAL LIFE DIALYSIS CENTER, LLC |
| Practice Address |
13501 Sw 136th Street Suite 210 Miami FL 33186 |
| Practice Telephone | 7867322484 |
| Practice Fax Number | 7867322603 |
| Mailing Telephone | 7867322484 |
| Mailing Fax Number | 7867322603 |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2016-04-08 |
| Authorized Official Name | DAYANE NUNEZ (COO) |
| Authorized Official Telephone | 7867322484 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities | ||
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0144551300 | 05 |
| Street Address |
13501 SW 136TH STREET SUITE 210 |
| City | MIAMI |
| State | FL |
| Zip Code | 33186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| 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 |
|---|---|---|---|---|
| 1750992814 | Swain Dialysis Renal Center | Clinic/Center | 1923 Nw 43rd St, Miami, FL 33142-4777 | 2020-08-12 |
| 1396355525 | Kidney Partners Coral Gables LLC | Clinic/Center | 835 Sw 37th Ave, Miami, FL 33135-4289 | 2020-08-03 |
| 1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
| 1679038046 | Arc Dialysis Kendall LLC | Clinic/Center | 9835 Sunset Dr Ste 107, Miami, FL 33173-4648 | 2019-02-09 |
| 1982171633 | Arc Dialysis Perrine LLC | Clinic/Center | 22165 S Dixie Hwy, Miami, FL 33170 | 2018-10-31 |
| 1255833844 | Kidney Care of Kendall Dialysis Center Inc. | Clinic/Center | 13501 S.w. 136th Street, 210, Miami, FL 33186 | 2018-02-28 |
| 1386167070 | Primecare Renal Group LLC | Clinic/Center | 78 Sw 13th Ave Ste 205, Miami, FL 33135-2479 | 2017-07-25 |
| 1952848798 | Total Renal Care Inc | Clinic/Center | 1800 Sw 8th St, Miami, FL 33135-3418 | 2017-01-31 |
| 1699102715 | Talimena Dialysis LLC | Clinic/Center | 15600 Nw 15th Ave, Ste D, Miami, FL 33169-5609 | 2013-10-03 |
| 1467762146 | Miami Regional Dialysis Center West LLC | Clinic/Center | 900 Park Centre Blvd, Suite 400-c, Miami, FL 33169-5367 | 2010-10-15 |
| Find all providers in MIAMI | ||||
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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.