PPN HOME DIALYSIS LLC (NPI# 1366779191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366779191 |
| Entity Type | Organization |
| Organization Name | PPN HOME DIALYSIS LLC |
| Practice Address |
2002 Lelaray St Suite 100 Colorado Springs CO 80909-2804 |
| Practice Telephone | 7196327641 |
| Practice Fax Number | 7196322925 |
| Mailing Telephone | 7196327641 |
| Mailing Fax Number | 7196322925 |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-16 |
| Authorized Official Name | BRAD H YUAN (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Telephone | 7196327641 |
| Authorized Official Credential | MD |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PPN HOME DIALYSIS LLC | 1914 Lelaray St., Colorado Springs, CO 80909 |
| Street Address |
2002 LELARAY ST SUITE 100 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497730485 | Darcy A Kolassa | Nurse Practitioner | 2002 Lelaray St, #100, Colorado Springs, CO 80909-2804 | 2005-12-13 |
| 1396286035 | Ppna Asc LLC | Clinic/Center | 2002 Lelaray St, Suite 100, Colorado Springs, CO 80909-2804 | 2017-03-14 |
| 1922103530 | R Susan Stewart | Nurse Practitioner | 2002 Lelaray St, Suite 100, Colorado Springs, CO 80909-2804 | 2006-09-14 |
| 1518934702 | Total Renal Care Inc | Clinic/Center | 2002 Lelaray St, Ste 130, Colorado Springs, CO 80909-2804 | 2006-03-07 |
| 1407833767 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2002 Lelaray St, #100, Colorado Springs, CO 80909-2804 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| 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 |
|---|---|---|---|---|
| 1083259634 | Fresenius Medical Care Colorado Springs, LLC | Clinic/Center | 3326 Centennial Blvd, Colorado Springs, CO 80907-4092 | 2019-11-07 |
| 1538395165 | Csld Lelaray LLC | Clinic/Center | 1910 Lelaray, Colorado Springs, CO 80909-2803 | 2009-06-10 |
| 1063688844 | 021808 LLC | Clinic/Center | 2508 Airport Rd, Colorado Springs, CO 80910-3120 | 2008-05-01 |
| 1295702009 | Total Renal Care Inc | Clinic/Center | 2802 International Cir, Colorado Springs, CO 80910 | 2006-03-01 |
| 1497759153 | Reliant Renal Care-colorado, LLC | Clinic/Center | 1605 N Union Blvd, Ste 100, Colorado Springs, CO 80909-2811 | 2005-06-10 |
| 1497921274 | Csld LLC | Clinic/Center | 2180 Hollow Brook Dr, Colorado Springs, CO 80918-1444 | 2008-05-01 |
| 1639344187 | North Colorado Springs Dialysis LLC | Clinic/Center | 6071 E Woodmen Rd, Ste 100, Colorado Springs, CO 80923-2610 | 2008-04-25 |
| 1518934702 | Total Renal Care Inc | Clinic/Center | 2002 Lelaray St, Ste 130, Colorado Springs, CO 80909-2804 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028934 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 1329 W Main St Ste B, Sterling, CO 80751-2834 | 2020-09-16 |
| 1295340073 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 2431 Main St Ste 5, Alamosa, CO 81101-8110 | 2020-09-09 |
| 1861007643 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 1125 S Camino Del Rio Ste 300b, Durango, CO 81303-6886 | 2020-09-09 |
| 1801424379 | Fresenius Medical Care Sloans Lake, LLC | Clinic/Center | 4097 W Colfax Ave, Denver, CO 89204-1404 | 2020-03-31 |
| 1043859507 | Altitude Dialysis Inc. | Clinic/Center | 1209 Monroe Street, Denver, CO 80206-3445 | 2020-01-02 |
| 1376025585 | Fresenius Medical Care Dialysis Services Colorado LLC | Clinic/Center | 1526 Oakridge Dr, Fort Collins, CO 80525-7305 | 2018-09-04 |
| 1639692288 | Southwest Rocky Mountain Dialysis, LLC | Clinic/Center | 4834 Chambers Rd, Denver, CO 80239-5152 | 2017-07-25 |
| 1174074223 | Milltown Dialysis LLC | Clinic/Center | 1321 S 4th Ave Ste 100, Brighton, CO 80601 | 2016-10-24 |
| 1285086389 | Kidney Center of Dacono LLC | Clinic/Center | 5992 Iris Pkwy, Frederick, CO 80504-6412 | 2016-07-13 |
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
Please comment or provide details below to improve the information on PPN HOME DIALYSIS 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.