PURE LIFE RENAL OF COOL SPRINGS, LLC (NPI# 1245872829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245872829 |
| Entity Type | Organization |
| Organization Name | PURE LIFE RENAL OF COOL SPRINGS, LLC |
| Practice Address |
1648 Westgate Cir Ste 100 Brentwood TN 37027-8019 |
| Mailing Address |
4000 Hollywood Blvd Ste 300n Hollywood FL 33021-1242 |
| Practice Telephone | 9549625734 |
| Mailing Telephone | 2162640284 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |
| Authorized Official Name | MR. JEFF FERNANDEZ (CFO) |
| Authorized Official Telephone | 9549625734 |
| 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 |
| Street Address |
1648 WESTGATE CIR STE 100 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027-8019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| Find all providers in zip 37027 | ||||
| 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 |
|---|---|---|---|---|
| 1003247750 | Total Renal Care Inc | Clinic/Center | 5200 Virginia Way, L&c Dept, Brentwood, TN 37027-7569 | 2013-12-06 |
| 1104938075 | Saint Louis Renal Care, LLC | Clinic/Center | 1400 Strassner Dr, Brentwood, MO 63144-1871 | 2006-08-31 |
| 1144332941 | Bio-medical Applications of California, Inc. | Clinic/Center | 4510 Ohara Ave Ste B, Brentwood, CA 94513-2256 | 2006-08-31 |
| 1174630909 | Saint Louis Renal Care, LLC | Clinic/Center | 1400 Strassner Road, Brentwood, MO 63144 | 2006-08-25 |
| 1841648656 | Total Renal Care, Inc | Clinic/Center | 5200 Virginia Way, L&c Dept, Brentwood, TN 37027-7569 | 2016-06-02 |
| 1811315823 | Forrest City Dialysis | Clinic/Center | 5200 Virginia Way, L & C Department, Brentwood, TN 37027 | 2014-04-07 |
| 1881849529 | Fresenius Medical Care Diablo Nephrology Clinics LLC | Clinic/Center | 4510 Ohara Ave, Suite B, Brentwood, CA 94513-2256 | 2008-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736438 | Fresenius Medical Care Cookeville, LLC | Clinic/Center | 117 N Hickory Ave Ste 100, Cookeville, TN 38501-2424 | 2019-12-03 |
| 1386298560 | Mattapan Dialysis LLC | Clinic/Center | 5144 Riverdale Rd Ste 103, Memphis, TN 38141-0271 | 2019-07-26 |
| 1114480761 | Avail Southeast Kidney Care LLC | Clinic/Center | 2008 Brookside Dr Ste 100, Kingsport, TN 37660-4640 | 2019-04-10 |
| 1609337161 | Dialysis Clinic Inc | Clinic/Center | 5653 Frist Blvd Ste 334, Hermitage, TN 37076-2064 | 2019-03-27 |
| 1972062669 | Dialyze Direct Tn, LLC | Clinic/Center | 2600 Thousand Oaks Blvd Ste 1400, Memphis, TN 38118-2401 | 2019-03-13 |
| 1336610757 | Fresenius Medical Care Columbia Franklin, LLC | Clinic/Center | 8048 Station Hill Drive, Spring Hill, TN 37174 | 2018-12-11 |
| 1770052888 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 6085 Arbury Way, Ooltewah, TN 37363 | 2018-11-19 |
| 1164907929 | Fresenius Medical Care Sandy River, LLC | Clinic/Center | 57 Commerce St, Paris, TN 38242-4917 | 2018-09-27 |
| 1003390469 | Isd Renal Inc | Clinic/Center | 1843 Foreman Dr Ste 201, Cookeville, TN 38501-5933 | 2018-09-21 |
| 1053895425 | Dialysis Associates, LLC | Clinic/Center | 193 Brown Jct, Centerville, TN 37033-1334 | 2018-09-20 |
| Find all providers with the same taxonomy | ||||
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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.