DVA HEALTHCARE RENAL CARE, INC.


Address: 1607 Physicians Dr, Tallahassee, FL 32308-4620
Phone: 8508788776

DVA HEALTHCARE RENAL CARE, INC. (NPI# 1265400501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265400501
Entity Type Organization
Organization Name DVA HEALTHCARE RENAL CARE, INC.
Other Organization Name TALLAHASSEE DIALYSIS
Practice Address 1607 Physicians Dr
Tallahassee
FL 32308-4620
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 8508788776
Practice Fax Number 8508789004
Mailing Telephone 6153204593
Mailing Fax Number 8002935872
Enumeration Date 2006-03-11
Last Update Date 2019-07-09
Authorized Official Name JAMES K HILGER (CHIEF ACCOUNTING OFFICER, TREASURER)
Authorized Official Telephone 2537334500
Is Organization Subpart N

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
FL 209491600 05

Other Provider/Organization Names

Other Name Type Code
Tallahassee Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1821500661 Dva Healthcare Renal Care, Inc. Clinic/Center 5601 Tuckaseegee Rd, Charlotte, NC 28208-2525 2017-11-02
1477517738 Dva Healthcare Renal Care, Inc. Clinic/Center 4805 1st St N, Arlington, VA 22203-2603 2006-04-13
1801850409 Dva Healthcare Renal Care, Inc. Clinic/Center 523 W 7th St, Weatherford, TX 76086-1536 2006-04-12
1346200334 Dva Healthcare Renal Care, Inc. Clinic/Center 111 Cherry Hill Rd, Baltimore, MD 21225-1392 2006-03-24
1003875683 Dva Healthcare Renal Care, Inc. Clinic/Center 615 Comfort Ln, Monroe, NC 28112-5599 2006-03-21
1043279110 Dva Healthcare Renal Care, Inc. Clinic/Center 2817 Napoleon Ave, New Orleans, LA 70115-6915 2006-03-18
1013986389 Dva Healthcare Renal Care, Inc. Clinic/Center 821 Lincoln Hwy, Fairview Heights, IL 62208-2216 2006-03-17
1376511618 Dva Healthcare Renal Care, Inc. Clinic/Center 1711 Alton Rd, Miami Beach, FL 33139-2411 2006-03-11
1578531802 Dva Healthcare Renal Care, Inc. Clinic/Center 878 Strong Rd, Quincy, FL 32351-5243 2006-03-11
1073581310 Dva Healthcare Renal Care, Inc. Clinic/Center 11306 N 53rd St, Temple Terrace, FL 33617-2214 2006-03-11

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities DVA Healthcare Renal Care, Inc. Jld/Secgovfin, 2000 16th Street, Denver, CO 80202
Oregon Corporations, Companies and Business Names DVA HEALTHCARE RENAL CARE, INC. Jld/Secgovfin, 2000 16th Street, Denver, CO 80202
Iowa Business Entities DVA HEALTHCARE RENAL CARE, INC. Jldsecgovfin 2000 16th Street, Denver, CO 80202
Massachusetts Corporations DVA HEALTHCARE RENAL CARE, INC. 2000 16th Street, Denver, CO 80202
Oklahoma Business Registrations DVA HEALTHCARE RENAL CARE, INC. 601 Hawaii St, El Segundo, CA 90245

Office Location

Street Address 1607 PHYSICIANS DR
City TALLAHASSEE
State FL
Zip Code 32308-4620

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215588306 Jmc Tallahassee, LLC Preventive Medicine 1838 Jacliff Court, Tallahassee, FL 32308 2019-09-20
1972165108 Covenant Home Health Care, LLC Home Health 1921 Capital Circle Ne, Tallahassee, FL 32308 2019-07-09
1548735798 North Florida Rehab Solutions Hospitalist 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 2018-10-03
1013491596 Injury and Rehab Centers of North Florida, LLC Neuromusculoskeletal Medicine & OMM 2268 Wednesday Street, Tallahassee, Florida, FL 32308 2018-09-20
1487133625 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 2018-08-08
1629566724 Total Health & Wellness Home Care, LLC Home Health 1325 Mahan Dr., Tallahassee, FL 32308 2018-04-25
1669979480 Beth North, Lcsw, LLC Social Worker 1325 Mahan Drive, Tallahassee, FL 32308 2018-04-09
1750885919 Robert E Ashmore Jr Md Obstetrics & Gynecology 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 2018-03-22
1225547243 William Michael Kunkle Physician Assistant 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 2017-09-21
1235657834 Traci R Raybon Occupational Therapist 1924 Hidden Valley, Tallahassee, FL 32308 2017-09-03
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043707730 Total Renal Care Inc Clinic/Center 2710 Allen Rd, Tallahassee, FL 32312-2607 2018-04-18
1801305099 Bio-medical Applications of Florida, Inc. Clinic/Center 2600 Centennial Pl, Tallahassee, FL 32308-0582 2017-09-20
1902277445 Artesia Dialysis LLC Clinic/Center 2417 Mill Creek Ct, Ste 3, Tallahassee, FL 32308-4395 2015-10-09
1891763132 Dva Renal Healthcare, Inc. Clinic/Center 2410 S Adams St, Tallahassee, FL 32301-6325 2006-03-11
1154399491 Dva Healthcare Renal Care, Inc. Clinic/Center 5857 W Tennessee St, Tallahassee, FL 32304-9218 2006-03-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801496104 Kidney Care Center of Winter Haven LLC Clinic/Center 1107 3rd St Sw Ste 9, Winter Haven, FL 33880-3912 2020-10-27
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
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Competitor

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City TALLAHASSEE
Zip Code 32308

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Dataset Information

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.

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