DCA OF ADEL LLC (NPI# 1336102938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336102938 |
| Entity Type | Organization |
| Organization Name | DCA OF ADEL LLC |
| Other Organization Name | US RENAL CARE ADEL DIALYSIS |
| Practice Address |
701 North Hutchinson Avenue Adel GA 31620 |
| Mailing Address |
Po Box 19119 Jonesboro AR 72403-6601 |
| Practice Telephone | 2298964529 |
| Practice Fax Number | 2298964216 |
| Mailing Telephone | 8709315400 |
| Mailing Fax Number | 8709315418 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | MR. THOMAS L. WEINBERG (VICE PRESIDENT & SECRETARY) |
| Authorized Official Telephone | 2147362700 |
| Is Organization Subpart | Y |
| Parent Organization Name | U S RENAL CARE INC |
| 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 |
|---|---|---|---|
| GA | 000895309G | 05 |
| Other Name | Type Code |
|---|---|
| US Renal Care Adel Dialysis | Doing Business As Name - Organization |
| Street Address |
701 NORTH HUTCHINSON AVENUE |
| City | ADEL |
| State | GA |
| Zip Code | 31620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588024970 | Wal-mart Store East, Lp | Technician/Technologist | 351 Alabama Road, Adel, GA 31620 | 2016-02-29 |
| 1144699141 | Alexander Warren | Nurse Practitioner | 110 S Hutchinson Ave, Adel, GA 31620 | 2015-09-20 |
| 1538474002 | Tift Regional Health System, Inc. | Specialist | 103 East James Street, Adel, GA 31620 | 2010-08-09 |
| 1427388578 | Newhaven | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 615 South Hutchinson Avenue, Adel, GA 31620 | 2010-01-12 |
| 1942374350 | South Georgia Csb | Clinic/Center | 203 Industrial Park Drive, Adel, GA 31620 | 2006-11-17 |
| 1457424616 | Cook County Board of Education | Local Education Agency (LEA) | 1109 N Parrish Ave, Adel, GA 31620 | 2006-11-16 |
| 1366513210 | Thomas D Fausett Jr. | Family Medicine | 707 N Parrish Ave, Adel, GA 31620 | 2006-11-13 |
| 1689765851 | Chris T. Hilliard | Dentist | 130 S. Parrish Ave., Adel, GA 31620 | 2006-09-27 |
| 1245247303 | Mark A Clegg | Dentist | 606 N Hutchinson Ave, Adel, GA 31620 | 2006-08-02 |
| 1558351809 | Lansing Charis Hillman | Family Medicine | 308 N Parrish Ave, Adel, GA 31620 | 2005-10-27 |
| Find all providers in zip 31620 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1659915882 | Filmore Dialysis, LLC | Clinic/Center | 4555 Atlanta Hwy Ste M, Loganville, GA 30052-2646 | 2019-10-31 |
| 1013562818 | Menca Dialysis, LLC | Clinic/Center | 3030 Headland Dr Sw Ste C, Atlanta, GA 30311-5435 | 2019-08-08 |
| 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.