BOWAN DIALYSIS LLC (NPI# 1285072447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285072447 |
| Entity Type | Organization |
| Organization Name | BOWAN DIALYSIS LLC |
| Other Organization Name | BELTLINE HOME TRAINING |
| Practice Address |
330 E Beltline Ave Ne Ste 2047 Grand Rapids MI 49506-1267 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 6162857081 |
| Practice Fax Number | 6162857096 |
| Mailing Telephone | 6153204514 |
| Mailing Fax Number | 8665949961 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2019-08-12 |
| Authorized Official Name | JAMES K 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1285072447 | 05 |
| Other Name | Type Code |
|---|---|
| Beltline Home Training | Doing Business As Name - Organization |
| Street Address |
330 E BELTLINE AVE NE STE 2047 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295701209 | Ronald Michael Hofmann | Internal Medicine | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 | 2006-02-28 |
| 1588056048 | Jan Michele Bowerman-torres | Registered Nurse | 330 E Beltline Ave Ne, Grand Rapids, MI 49506-1267 | 2015-02-20 |
| 1497005474 | Gina Renee Peterson | Physician Assistant | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 | 2012-09-17 |
| 1093005373 | Ramandeep Singh Banga | Internal Medicine | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 | 2011-04-08 |
| 1962704528 | Sarah Joy Carpenter | Dietitian, Registered | 330 E Beltline Ave Ne, Grand Rapids, MI 49506-1267 | 2010-12-02 |
| 1295055572 | Bonita A. Mohamed | Internal Medicine | 330 E Beltline Ave Ne, Grand Rapids, MI 49506-1267 | 2010-06-09 |
| 1760678221 | Saurabh Kumar Goel | Internal Medicine | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 | 2007-09-19 |
| 1104036532 | Michael J Unruh | Internal Medicine | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 | 2007-05-23 |
| 1871674200 | Renal Associates of West Michigan PC | Internal Medicine | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 | 2006-10-19 |
| 1316034150 | Philip Goushaw | Internal Medicine | 330 E Beltline Ave Ne, Suite 100, Grand Rapids, MI 49506-1267 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| 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 |
|---|---|---|---|---|
| 1255840427 | Home Advantage Dialysis | Clinic/Center | 1621 44th St Sw Ste 300, Grand Rapids, MI 49509-4387 | 2017-09-20 |
| 1417333725 | Total Renal Care Inc | Clinic/Center | 705 28th St Se, Grand Rapids, MI 49548-1303 | 2015-08-10 |
| 1245509348 | Fms Clyde Park South, LLC | Clinic/Center | 5311 Clyde Park Ave Sw, Grand Rapids, MI 49509 | 2011-12-19 |
| 1497860233 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 155 Se 13th St, Grand Rapids, MN 55744-4242 | 2006-08-20 |
| 1568424455 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 1230 Ekhart St Ne, Grand Rapids, MI 49503-1372 | 2006-04-05 |
| 1508827023 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 801 Cherry St Se, Grand Rapids, MI 49506-1440 | 2006-04-01 |
| 1124650130 | Spectrum Health Hospitals | Clinic/Center | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2020-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497961 | Saint Marina Home Dialysis LLC | Clinic/Center | 26711 Northwestern Hwy Ste 125, Southfield, MI 48033-2170 | 2020-11-05 |
| 1144820226 | Heritage Home Dialysis LLC | Clinic/Center | 1580 N Leroy St Ste 6, Fenton, MI 48430-2801 | 2020-10-28 |
| 1386262350 | Delta Renal Care Pllc | Clinic/Center | 3981 Elizabeth Ave, Canton, MI 48188-7223 | 2020-07-07 |
| 1457973257 | Fms Owosso, LLC | Clinic/Center | 918 Corunna Ave, Owosso, MI 48867-3768 | 2020-05-14 |
| 1023650926 | Falmont Dialysis LLC | Clinic/Center | 37290 5 Mile Rd, Livonia, MI 48154-1848 | 2019-10-11 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1487123600 | Concerto Michigan LLC | Clinic/Center | 14700 Farmington Rd Ste 108, Livonia, MI 48154-5462 | 2018-11-16 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1851886592 | Fms Rochester Hills, LLC | Clinic/Center | 26400 W 12 Mile Rd Ste 112, Southfield, MI 48034-1785 | 2018-06-26 |
| 1801399753 | Kasaskia Dialysis LLC | Clinic/Center | 18001 E 10 Mile Rd Ste B, Roseville, MI 48066-3803 | 2018-03-16 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
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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.