BONISTER DIALYSIS, LLC (NPI# 1235607144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235607144 |
| Entity Type | Organization |
| Organization Name | BONISTER DIALYSIS, LLC |
| Other Organization Name | SANDY SHORES DIALYSIS |
| Practice Address |
5947 20th St Vero Beach FL 32966-4676 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 7727700331 |
| Practice Fax Number | 7727700336 |
| Mailing Telephone | 6153416767 |
| Mailing Fax Number | 8337829082 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2019-02-11 |
| Authorized Official Name | JAMES 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 |
| Other Name | Type Code |
|---|---|
| Sandy Shores Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821447962 | Bonister Dialysis, LLC | Clinic/Center | 100 S Us Highway 1, Vero Beach, FL 32962-3630 | 2016-06-09 |
| Street Address |
5947 20TH ST |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32966-4676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881103141 | Patricha Wilby Powell | Custodial Care Facility | 4016 57terr, Vero Beach, FL 32966 | 2017-09-29 |
| 1659677953 | Bonnie J Butler | Home Health Aide | 603 Tangelo Circle Sw, Vero Beach, FL 32966 | 2011-02-03 |
| 1932348695 | Regina Torrance | Occupational Therapy Assistant | 2200 Indian Creek Blvd West, Vero Beach, FL 32966 | 2009-02-19 |
| 1689812109 | Hma/solantic Joint Venture, LLC | Clinic/Center | 1820 58th Ave., Unit 110, Vero Beach, FL 32966 | 2009-01-22 |
| 1174735310 | Michael W. Bailey | Dentist | 6610 20th St, Vero Beach, FL 32966 | 2007-05-03 |
| 1376761841 | Brian Wilsey | Physical Therapy Assistant | 2200 Indian Crek Blvd., Vero Beach, FL 32966 | 2007-04-23 |
| 1417174061 | Tiffany Ann Spallone | Dentist | 2166 58th Ave, Vero Beach, FL 32966 | 2007-04-18 |
| 1114046604 | Bettina Leigh Smith | Physical Therapy Assistant | 7975 17 Lane, Vero Beach, FL 32966 | 2007-03-28 |
| 1831214873 | Wendy J Starnes | Occupational Therapist | 7975 17th Ln, Vero Beach, FL 32966 | 2007-03-20 |
| 1457476541 | Arbors Retirement, LLC | Assisted Living Facility | 7975 17th Lane, Vero Beach, FL 32966 | 2007-03-20 |
| Find all providers in zip 32966 | ||||
| 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 |
|---|---|---|---|---|
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1528113156 | Indian River Dialysis Center LLC | Clinic/Center | 2150 45th St Unit 102, Vero Beach, FL 32967-6281 | 2007-01-24 |
| 1710937511 | National Medical Care Inc | Clinic/Center | 1515 Indian River Blvd, Rcc Vero Beach Ste A 101, Vero Beach, FL 32960 | 2006-05-11 |
| 1821447962 | Bonister Dialysis, LLC | Clinic/Center | 100 S Us Highway 1, Vero Beach, FL 32962-3630 | 2016-06-09 |
| 1730357393 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 1515 Indian River Blvd, Ste. A-101 Ckd Services of Vero Beach, Vero Beach, FL 32960-5627 | 2008-02-18 |
| 1194769901 | National Medical Care, Inc. | Clinic/Center | 1515 Indian River Blvd, Vero Beach, FL 32960-5627 | 2006-06-15 |
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|---|---|---|---|---|
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| 1538773411 | 5072020, LLC | Clinic/Center | 2675 Winkler Ave Ste 130, Fort Myers, FL 33901-9362 | 2020-09-08 |
| 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 |
| 1427668870 | Dialysis Spa, LLC | Clinic/Center | 2040 Ne 163rd St Ste 206, North Miami Beach, FL 33162-4953 | 2020-07-31 |
| 1285250522 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 775 Gateway Dr Ste 1010, Altamonte Springs, FL 32714-1524 | 2020-06-23 |
| 1992321244 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 | 2020-06-23 |
| 1023630886 | Fresenius Medical Care Apollo Beach, LLC | Clinic/Center | 3002 E College Ave, Ruskin, FL 33570-5220 | 2020-05-14 |
| 1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
| 1487274734 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
| City | VERO BEACH |
| Zip Code | 32966 |
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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.