SAGUARO DIALYSIS LLC (NPI# 1215309778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215309778 |
| Entity Type | Organization |
| Organization Name | SAGUARO DIALYSIS LLC |
| Other Organization Name | SHELBY COUNTY DIALYSIS |
| Practice Address |
50 Church View St Shelbyville KY 40065-1663 |
| Mailing Address |
5200 Virginia Way L&c Department Brentwood TN 37027-7569 |
| Practice Telephone | 5026470127 |
| Mailing Telephone | 6152383051 |
| Mailing Fax Number | 8002468346 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
| Other Name | Type Code |
|---|---|
| Shelby County Dialysis | Doing Business As Name - Organization |
| Street Address |
50 CHURCH VIEW ST |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-1663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| 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 |
|---|---|---|---|---|
| 1124678529 | Dialyze Direct Il LLC | Clinic/Center | 410 S Heinlein Dr, Shelbyville, IL 62565-7800 | 2019-09-17 |
| 1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
| 1174635981 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 150 Stonecrest Road, Shelbyville, KY 40065-8141 | 2006-08-31 |
| 1013029933 | Renal Therapies LLC | Clinic/Center | 410 S. Heinlein Dr., Shelbyville, IL 62565 | 2006-08-31 |
| 1316052160 | Rcg Indiana LLC | Clinic/Center | 2500 Parkway Dr, Shelbyville, IN 46176-8677 | 2006-08-20 |
| 1528091907 | Dialysis Clinic Inc. | Clinic/Center | 120 Frank Martin Rd Ste 202, Shelbyville, TN 37160-7195 | 2006-07-08 |
| 1992751408 | Isd Renal Inc | Clinic/Center | 2309 S Miller St, Ste 100, Shelbyville, IN 46176-9350 | 2006-05-26 |
| 1023477122 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 2500 Parkway Dr, Shelbyville, IN 46176-8677 | 2016-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000232 | Fresenius Medical Care Kentuckiana Ht, LLC | Clinic/Center | 6400 Dutchmans Pkwy Ste 145, Louisville, KY 40205-3342 | 2020-10-09 |
| 1659988970 | Dialyze Direct Ky, LLC | Clinic/Center | 9780 Ormsby Station Rd Ste 1200, Louisville, KY 40223-4049 | 2020-09-30 |
| 1922637529 | Total Renal Care, Inc. | Clinic/Center | 601 Chamberlin Ave, Frankfort, KY 40601-4220 | 2020-04-06 |
| 1629602727 | Pure Life Renal of Louisville, LLC | Clinic/Center | 3935 Taylorsville Rd, Louisville, KY 40220-1455 | 2020-02-27 |
| 1407496557 | Total Renal Care, Inc. | Clinic/Center | 310n L Rogers Wells Bldv, Glasgow, KY 42141-1300 | 2020-01-07 |
| 1093213902 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1715 Gagel Ave, Louisville, KY 40216-2763 | 2018-01-25 |
| 1972022044 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1112 S Main St Ste 11, Franklin, KY 42134 | 2017-09-11 |
| 1811414980 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 23 A St Ste A, Louisa, KY 41230-6001 | 2017-08-29 |
| 1467978791 | Total Renal Care Inc | Clinic/Center | 737 Dishman Lane Ext, Bowling Green, KY 42104-3898 | 2017-08-18 |
| 1831615434 | Fresenius Medical Care Stanford, LLC | Clinic/Center | 29 Frontier Blvd, Stanford, KY 40484-8513 | 2017-08-16 |
| Find all providers with the same taxonomy | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
Please comment or provide details below to improve the information on SAGUARO DIALYSIS LLC.
| 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.