WHEELING RENAL CARE LLC (NPI# 1285630590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285630590 |
| Entity Type | Organization |
| Organization Name | WHEELING RENAL CARE LLC |
| Other Organization Name | BELMONT DIALYSIS @ CRESTVIEW |
| Practice Address |
68639 Bannock Rd Saint Clairsville OH 43950-9736 |
| Mailing Address |
500 Medical Park Ste 100 Wheeling WV 26003-7600 |
| Practice Telephone | 7406990220 |
| Practice Fax Number | 7406990703 |
| Mailing Telephone | 3042427770 |
| Mailing Fax Number | 3042433216 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DEBRA LUCKI (ASSISTANT ADMINISTRATOR) |
| Authorized Official Telephone | 3042427770 |
| Authorized Official Credential | R.N. |
| 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 |
0579DC | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0401005000 | 05 | |
| OH | 0459374 | 05 |
| Other Name | Type Code |
|---|---|
| Belmont Dialysis @ Crestview | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519369 | Wheeling Renal Care LLC | Clinic/Center | 1 Benjamin Dr, New Martinsville, WV 26155 | 2005-06-22 |
| 1295730703 | Wheeling Renal Care LLC | Clinic/Center | 500 Medical Park, Ste 100, Wheeling, WV 26003-7600 | 2005-06-21 |
| Street Address |
68639 BANNOCK RD |
| City | SAINT CLAIRSVILLE |
| State | OH |
| Zip Code | 43950-9736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285162230 | Total Renal Care Inc | Clinic/Center | 68639 Bannock Rd, Saint Clairsville, OH 43950 | 2017-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212450 | Sharon Jackson | In Home Supportive Care | 52410 Summit Avenue, St. Clairsville, OH 43950 | 2020-10-16 |
| 1326657891 | Taylor Gorby | Behavior Technician | 1 Halloran Dr, St. Clairsville, OH 43950 | 2020-07-30 |
| 1023627247 | Madison Emery | Behavior Technician | 1 Holloran Drive, St Clairsville, OH 43950 | 2020-07-23 |
| 1821633439 | Jerri Mccombs | Clinical Nurse Specialist | 71200and1/2 Kagg Hill Rd, St Clairsville, OH 43950 | 2019-11-07 |
| 1053978817 | Mariah Lynn Hamilton | Behavior Technician | 1 Halloran Lane, St. Clairsville, OH 43950 | 2019-05-28 |
| 1083184717 | Maria Suzanne Shane | Behavior Technician | 1 Halloran Ln, Saint Clairsville, OH 43950 | 2018-11-26 |
| 1023592201 | Natisha Janelle Greathouse | Behavior Technician | 1 Halloran Park Lane, St Clairsville, OH 43950 | 2018-09-24 |
| 1285111039 | Bethany A Dawson | Dietitian, Registered | 66670 Anna Dr, Saint Clairsville, OH 43950 | 2018-07-24 |
| 1073004776 | Marsha M Woods | Social Worker | 67925 Bayberry Drive, Suite A, St. Clairsville, OH 43950 | 2018-05-29 |
| 1104314657 | Jorja L Johnson | Case Manager/Care Coordinator | 67925 Bayberry Dr Ste 700, Saint Clairsville, OH 43950 | 2018-04-30 |
| Find all providers in zip 43950 | ||||
| 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 |
|---|---|---|---|---|
| 1285162230 | Total Renal Care Inc | Clinic/Center | 68639 Bannock Rd, Saint Clairsville, OH 43950 | 2017-06-02 |
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|---|---|---|---|---|
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| 1518570886 | Independent Dialysis Group Northeast Ohio LLC | Clinic/Center | 48444 Bell School Rd Ste 4, Calcutta, OH 43920-9646 | 2020-08-26 |
| 1871106401 | Akron Renal Care Group, LLC | Clinic/Center | 401 Devon Pl Ste 100, Kent, OH 44240-6481 | 2020-08-24 |
| 1558985663 | Wyandot Dialysis Clinic LLC | Clinic/Center | 1207 E Wyandot Ave, Upper Sandusky, OH 43351-9647 | 2020-06-04 |
| 1245854876 | Concerto Ohio LLC | Clinic/Center | 2111 S Green Rd, South Euclid, OH 44121-3350 | 2020-05-29 |
| 1548899602 | Northeast Ohio Home Dialysis LLC | Clinic/Center | 2819 S Hayes Ave Ste 8, Sandusky, OH 44870-5391 | 2020-04-02 |
| 1982242954 | Center for Dialysis Care Beachwood Home Care LLC | Clinic/Center | 3755 Orange Pl Ste 103, Beachwood, OH 44122-4455 | 2019-12-20 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1912554486 | Usrc Tiffin, LLC | Clinic/Center | 100 Shaffer Park Dr Ste A, Tiffin, OH 44883-8536 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIRSVILLE |
| Zip Code | 43950 |
Please comment or provide details below to improve the information on WHEELING RENAL CARE LLC.
| 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.