DELTA RENAL CARE PLLC (NPI# 1386262350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386262350 |
| Entity Type | Organization |
| Organization Name | DELTA RENAL CARE PLLC |
| Practice Address |
3981 Elizabeth Ave Canton MI 48188-7223 |
| Practice Telephone | 8102821821 |
| Mailing Telephone | 8102821821 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | MOHAMMAD ALHAJI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8102821821 |
| 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 |
| Street Address |
3981 ELIZABETH AVE |
| City | CANTON |
| State | MI |
| Zip Code | 48188-7223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1013473925 | Yen Do Ruiz | Pharmacist | 41460 Haggerty Circle South, Canton, MI 48188 | 2019-02-15 |
| 1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
| 1720589427 | Audrey Imbur | Physical Therapist | 4111 S. Canton Center Rd, Canton, MI 48188 | 2018-02-27 |
| 1639687700 | Tanveer Hussain | Physical Therapist | 3439 Brooklyn Dr, Canton, MI 48188 | 2018-01-11 |
| 1376054833 | Cherry Hill Village Pharmacy LLC | Pharmacy | 50429 Independence St, Canton, MI 48188 | 2017-10-23 |
| 1396262101 | Enid Alexandra Moore | Social Worker | 40946 Crossbow Cir, Apt 201, Canton, MI 48188 | 2017-08-23 |
| 1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
| Find all providers in zip 48188 | ||||
| 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 |
|---|---|---|---|---|
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1629596267 | Isd Renal Inc | Clinic/Center | 2912 W Tuscarawas St, Canton, OH 44708-4643 | 2017-09-05 |
| 1174044093 | Fresenius Medical Care Stark County, LLC | Clinic/Center | 2835 Tuscarawas St. W, Canton, OH 44708-4600 | 2017-06-30 |
| 1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
| 1619332574 | Detroit Medical Center | Clinic/Center | 43205 Creekview Dr, Canton, MI 48187-3049 | 2015-12-19 |
| 1932522950 | Innovative Home Dialysis of Georgia, LLC | Clinic/Center | 3753 Marietta Hwy, Suite 100, Canton, GA 30114-8328 | 2014-01-27 |
| 1144467747 | My Father's House Dialysis Care Facility,llc | Clinic/Center | 1200 30th St Nw, Canton, OH 44709-2923 | 2009-01-19 |
| 1861643579 | Total Renal Care Inc | Clinic/Center | 4377 Whipple Ave Nw, Canton, OH 44718-2643 | 2008-10-01 |
| 1861649535 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 6064 N Sheldon Rd, Canton, MI 48187-2861 | 2008-08-25 |
| 1750542213 | Usrc Canton LLC | Clinic/Center | 400 E Hwy 243, Suite 14, Canton, TX 75103-2445 | 2008-06-18 |
| Find all providers in CANTON | ||||
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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.