DVA RENAL HEALTHCARE, INC. (NPI# 1235199076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235199076 |
Entity Type | Organization |
Organization Name | DVA RENAL HEALTHCARE, INC. |
Other Organization Name | DES PLAINES HOME TRAINING DIALYSIS |
Practice Address |
2307 S Mount Prospect Rd Des Plaines IL 60018-1811 |
Mailing Address |
5200 Virginia Way Suite 400 L&c Brentwood TN 37027-7569 |
Practice Telephone | 8477681310 |
Practice Fax Number | 8477681319 |
Mailing Telephone | 6153204435 |
Mailing Fax Number | 3032097821 |
Enumeration Date | 2006-03-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | THOMAS O. USILTON JR. (GROUP VICE PRESIDENT) |
Authorized Official Telephone | 7705417922 |
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 |
N / A | IL | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Des Plaines Home Training Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346752607 | Dva Renal Healthcare, Inc. | Clinic/Center | 191 Se Railroad St, Sharpsburg, NC 27878 | 2017-10-26 |
1053375030 | Dva Renal Healthcare, Inc. | Clinic/Center | 15225 Carrollton Blvd, Carrollton, VA 23314-2303 | 2006-04-14 |
1083678320 | Dva Renal Healthcare, Inc. | Clinic/Center | 5150 Duke St, Alexandria, VA 22304-2906 | 2006-04-13 |
1649233222 | Dva Renal Healthcare, Inc. | Clinic/Center | 835 Smithville Hwy, #15, Mc Minnville, TN 37110-1669 | 2006-04-06 |
1417926486 | Dva Renal Healthcare, Inc. | Clinic/Center | 1741 Commerce Dr Nw Ste 405, Atlanta, GA 30318-3107 | 2006-03-14 |
1801864145 | Dva Renal Healthcare, Inc. | Clinic/Center | 2850 34th St S, Saint Petersburg, FL 33711-3817 | 2006-03-11 |
1891763132 | Dva Renal Healthcare, Inc. | Clinic/Center | 2410 S Adams St, Tallahassee, FL 32301-6325 | 2006-03-11 |
1326016130 | Dva Renal Healthcare, Inc. | Clinic/Center | 661 9th St N, Naples, FL 34102-8132 | 2006-03-08 |
1245208057 | Dva Renal Healthcare, Inc. | Clinic/Center | 860 Ne 125th St, North Miami, FL 33161-5743 | 2006-03-08 |
1104893221 | Dva Renal Healthcare, Inc. | Clinic/Center | 2235 S Babcock St, Melbourne, FL 32901 | 2006-03-07 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | DVA RENAL HEALTHCARE, INC. | Jld/secgovfin, 2000 16th Street, Denver, CO 80202 |
Washington State Corporations | DVA RENAL HEALTHCARE, INC. | Jld/secgovfin 2000 16th Street, Denver, CO 80202 |
Vermont Business Registrations | DVA RENAL HEALTHCARE, INC. | Jld/secgovfin, 2000 16th Street, Denver, CO 80202 |
Iowa Business Entities | DVA RENAL HEALTHCARE, INC. | Jldsecgovfin 2000 16th Street, Denver, CO 80202 |
Oklahoma Business Registrations | DVA RENAL HEALTHCARE, INC. | 601 Hawaii St, El Segundo, CA 90245 |
Massachusetts Corporations | DVA RENAL HEALTHCARE, INC. | 2000 16th Street, Denver, CO 80202 |
Street Address |
2307 S MOUNT PROSPECT RD |
City | DES PLAINES |
State | IL |
Zip Code | 60018-1811 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356750590 | Mac Rx, LLC | Pharmacy | 2307 S Mount Prospect Rd, Des Plaines, IL 60018-1811 | 2014-08-12 |
1326379520 | Easy Scripts Inc. | Pharmacy | 2307 S Mount Prospect Rd, Des Plaines, IL 60018-1811 | 2010-01-27 |
1356554638 | Enloe Drugs, LLC | Durable Medical Equipment & Medical Supplies | 2307 S Mount Prospect Rd, Des Plaines, IL 60018-1811 | 2007-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902463961 | Home Care Angels II, LLC | Homemaker | 2720 S. River Rd., Suite 116, Des Plaines, IL 60018 | 2019-05-24 |
1982175691 | Johnny Contreras | Physician Assistant | 1972 Welwyn Ave, Des Plaines, IL 60018 | 2018-12-07 |
1336618248 | Better Quality Healthcare LLC | Case Manager/Care Coordinator | 2340 S. River Rd, Des Plaines, IL 60018 | 2018-11-20 |
1467942631 | Reanna Peterman | Dietitian, Registered | 1400 E Touhy Ave Ste 300a, Des Plaines, IL 60018 | 2018-05-14 |
1902308497 | Gonzalez Clinical Therapy LLC | Clinic/Center | 1400 E Touhy Avenue Suite 240, Des Plaines, IL 60018 | 2018-03-01 |
1730689506 | Richard Leon | Specialist/Technologist | 2004 Cedar St, Des Plaines, IL 60018 | 2018-02-17 |
1285151449 | Silverado Hospice of Illinois Inc. | Hospice Care, Community Based | 1350 E Touhy Ave Ste 130, Des Plaines, IL 60018 | 2017-08-28 |
1588189336 | Sainilkumar Patel | Physical Therapist | 1200 S Leslie Ln, Na, Des Plaines, IL 60018 | 2017-08-12 |
1033642251 | Amitaben Patel | Nurse Practitioner | 2250 E Devon Ave Ste 333, Des Plaines, IL 60018 | 2017-04-05 |
1487048831 | Tx Enterprises | Acupuncturist | 1784 E. Oakton, #106, Des Plaines, IL 60018 | 2015-03-24 |
Find all providers in zip 60018 |
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 |
---|---|---|---|---|
1629411269 | Fresenius Medical Care Des Plaines, LLC | Clinic/Center | 1625 Oakton Pl, Des Plaines, IL 60018-2002 | 2013-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316550486 | Home Dialysis & Kidney Care Limited | Clinic/Center | 1252 Ogden Ave Ste D, Downers Grove, IL 60515-2740 | 2020-08-28 |
1922619824 | Dialysis Care Center Evergreen Park LLC | Clinic/Center | 9834 S Kedzie Ave, Evergreen Park, IL 60805-3135 | 2020-08-13 |
1558970525 | Concerto Massachusetts LLC | Clinic/Center | 4600 W Touhy Ave Ste 100, Lincolnwood, IL 60712-1606 | 2020-07-27 |
1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
1376162735 | Hopkinton Dialysis LLC | Clinic/Center | 6001 W Ogden Ave, Cicero, IL 60804-3739 | 2020-04-15 |
1710511399 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 1946 Grand Avenue, Granite City, IL 62040-4613 | 2020-02-24 |
1861026478 | Proctor Community Hospital | Clinic/Center | 5401 N Knoxville Ave Ste 104, Peoria, IL 61614-5021 | 2020-02-24 |
1033741608 | Fresenius Medical Care New Lenox, LLC | Clinic/Center | 662 Cedar Crossings Dr, New Lenox, IL 60451-5200 | 2020-02-11 |
1730725904 | Perryton Dialysis LLC | Clinic/Center | 8604 Woodward Ave, Woodridge, IL 60517-3171 | 2019-11-22 |
1124678529 | Dialyze Direct Il LLC | Clinic/Center | 410 S Heinlein Dr, Shelbyville, IL 62565-7800 | 2019-09-17 |
Find all providers with the same taxonomy |
City | DES PLAINES |
Zip Code | 60018 |
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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.