DVA HEALTHCARE RENAL CARE, INC. (NPI# 1376511618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376511618 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE RENAL CARE, INC. |
| Other Organization Name | SOUTH BEACH DIALYSIS |
| Practice Address |
1711 Alton Rd Miami Beach FL 33139-2411 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 3056954175 |
| Practice Fax Number | 3056954179 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER, TREASURER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
|---|---|---|---|
| FL | 200518223 | 05 |
| Other Name | Type Code |
|---|---|
| South Beach Dialysis | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1598733834 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 6610 Stadium Dr, Zephyrhills, FL 33542-7510 | 2006-03-11 |
| 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 |
| Street Address |
1711 ALTON RD |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33139-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973061 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 709 Alton Road Suite 430, Miami Beach, FL 33139 | 2019-10-14 |
| 1811548308 | Yoel O Guerra | Behavior Technician | 800 West Ave Apt 942, Miami Beach, FL 33139 | 2019-09-25 |
| 1285153239 | Stella Kocovic Villacorta | Internal Medicine | 709 Alton Road, Suite 440, Miami Beach, FL 33139 | 2017-09-11 |
| 1922524164 | Noel De Leon | Pharmacist | 730 15 Street Apt 1-d, Miami Beach, FL 33139 | 2017-08-18 |
| 1861916868 | Susana Cruz | Behavior Technician | 710 Washinghton Ave Apt# 223, Miami Beach, FL 33139 | 2017-08-01 |
| 1730627530 | Viviana Yerex | Behavior Technician | 800 West Ave. Apt. 602, Miami Beach, FL 33139 | 2017-02-01 |
| 1841662921 | Miami Beach Holistic Addiction Treatment Center | Substance Abuse Rehabilitation Facility | 309 23rd Street Ste 200-c, Miami Beach, FL 33139 | 2015-10-28 |
| 1609245778 | Borinquen Health Care Center Inc | Clinic/Center | 1050 4th Street, South Pointe Elementary, Miami Beach, FL 33139 | 2015-09-18 |
| 1558730622 | Borinquen Health Care Center Inc | Clinic/Center | 1420 Washington Avenue, Fienberg Fisher K-8, Miami Beach, FL 33139 | 2015-09-18 |
| 1407238603 | Wayne Holman | General Practice | 500 South Pointe Drive Suite 220, C/o Ridgeback Capital Management, Miami Beach, FL 33139 | 2015-06-24 |
| Find all providers in zip 33139 | ||||
| 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 |
|---|---|---|---|---|
| 1164796660 | Miami Beach Elite Dialysis | Clinic/Center | 714 W 51st St Ste 400, Miami Beach, FL 33140-2615 | 2012-03-01 |
| 1235410937 | Elite Dialysis of Miami Beach, LLC | Clinic/Center | 714 West 51 St., Miami Beach, FL 33140 | 2011-09-08 |
| 1659348779 | Total Renal Care Inc | Clinic/Center | 400 Arthur Godfrey Rd, Ste 402, Miami Beach, FL 33140-3516 | 2006-03-07 |
| 1194170852 | Peritoneal Dialysis Center Inc | Clinic/Center | 4302 Alton Rd, Suite 400, Miami Beach, FL 33140-2891 | 2016-05-02 |
| 1306149737 | Elite Peritoneal Dialysis of Miami Beach,llc | Clinic/Center | 4302 Alton Rd, 400, Miami Beach, FL 33140-2891 | 2010-12-07 |
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|---|---|---|---|---|
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| 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 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI BEACH |
| Zip Code | 33139 |
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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.