USRC QUINCY, LLC (NPI# 1396118444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396118444 |
| Entity Type | Organization |
| Organization Name | USRC QUINCY, LLC |
| Other Organization Name | U.S.RENAL CARE QUINCY DIALYSIS |
| Practice Address |
500 Victory Rd Quincy MA 02171-3139 |
| Mailing Address |
Po Box 251549 Plano TX 75025-1500 |
| Practice Telephone | 6174277800 |
| Practice Fax Number | 6174277808 |
| Mailing Telephone | 2147362700 |
| Mailing Fax Number | 2147362701 |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2017-01-17 |
| Authorized Official Name | THOMAS L. WEINBERG (CHAIRMAN, AUTHORIZED OFFICIAL) |
| 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 |
|---|---|---|---|
| MA | 110115458A | 05 | |
| MA | BUSINESS LICENSE | 7436 | 01 |
| MA | STATE LICENSURE | EK1N | 01 |
| CLIA WAIVER | 22D2032136 | 01 |
| Other Name | Type Code |
|---|---|
| U.S.Renal Care Quincy Dialysis | Doing Business As Name - Organization |
| Street Address |
500 VICTORY RD |
| City | QUINCY |
| State | MA |
| Zip Code | 02171-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265462477 | Ajita Purohit | Social Worker | 500 Victory Rd, Bayview Associates, Quincy, MA 02171-3139 | 2006-07-04 |
| 1265030191 | Benjamin Miele | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-10-13 |
| 1447861364 | Juliana Lee Willey | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-08-13 |
| 1437760725 | John Francis Mannion | Registered Nurse | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-08-11 |
| 1306456488 | Abigail R Hennigan | Music Therapist | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-08-04 |
| 1225647191 | Delaney Elaine Hauck | Social Worker | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-07-27 |
| 1760007090 | Lorain Clair Baeumler | Registered Nurse | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-06-12 |
| 1346865052 | Kyle Christopher Leonard | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-06-09 |
| 1649895400 | Jessica Anderson | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-06-08 |
| 1669094884 | Lisa Lopes | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730661190 | Yvonne Ann Roth | Social Worker | 1 Enterprise Drive, Quincy, MA 02171 | 2018-09-03 |
| 1902397631 | Kristen Spain | Registered Nurse | 110 West Squantum St., North Quincy, MA 02171 | 2018-05-29 |
| 1760984777 | Oumaima Mansouri | Counselor | 110 West Squantum Street, Quincy, MA 02171 | 2018-03-06 |
| 1386163699 | Sophonie Belizaire | Assistant Behavior Analyst | South Shore Mental Health, 500 Victory Rd., Quincy, MA 02171 | 2017-09-18 |
| 1306209168 | Katherine R Standish | Family Medicine | 110 W Squantum St Ste 8, North Quincy, MA 02171 | 2016-03-30 |
| 1669852778 | Joseph Odom | Counselor | 43 Old Colony Road, Quincy, MA 02171 | 2015-06-03 |
| 1578825436 | Hoi Yuk Pang | Counselor | 1 Billings Rd, Quincy, MA 02171 | 2012-06-15 |
| 1275862526 | Naeemah Tahira Smith | Counselor | 210a Quincy Shore Dr, Quincy, MA 02171 | 2009-12-16 |
| 1386876779 | Mark Everds | Counselor | 97 Holmes Street, 2nd Floor, North Quincy, MA 02171 | 2009-08-18 |
| 1306014741 | Ping-chiu Chan | Acupuncturist | Chinese Medical Center, 38 Billings Road, Quincy, MA 02171 | 2008-02-20 |
| Find all providers in zip 02171 | ||||
| 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 |
|---|---|---|---|---|
| 1538493937 | Total Renal Care Inc | Clinic/Center | 436 N 10th St, Quincy, IL 62301-4152 | 2009-10-01 |
| 1437168143 | Bio-medical Applications of Massachusetts, Inc. | Clinic/Center | 241 Parkingway, Quincy, MA 02169-5029 | 2006-08-05 |
| 1578531802 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 878 Strong Rd, Quincy, FL 32351-5243 | 2006-03-11 |
| 1407144637 | Ihs of Massachusetts LLC | Clinic/Center | 1250 Hancock St, Suite 110-n, Quincy, MA 02169-4339 | 2011-07-21 |
| 1679860134 | Ihs of Massachusetts LLC | Clinic/Center | 1250 Hancock Street, Suite 204, Quincy, MA 02169 | 2011-07-06 |
| 1053410001 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 1025 Maine St, Quincy, IL 62301-4038 | 2006-09-22 |
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| 1023596863 | Ara-holyoke Dialysis LLC | Clinic/Center | 36 Lower Westfield Rd Unit C-153, Holyoke, MA 01040-2749 | 2018-08-03 |
| 1831603638 | Auburn Health LLC | Clinic/Center | 771 Southbridge St Ste 1, Auburn, MA 01501-1345 | 2017-12-01 |
| 1295247955 | Bio-medical Applications of Massachusetts Inc | Clinic/Center | 867 Grafton St Ste 3, Worcester, MA 01604-2052 | 2017-11-02 |
| 1356850242 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 267 Shrewsbury St, Worcester, MA 01604-4623 | 2017-09-24 |
| 1942673819 | Bio-medical Applications of Massachusetts, Inc. | Clinic/Center | 216 Huttleston Ave, Fairhaven, MA 02719-1958 | 2015-11-02 |
| 1134500747 | Bio-medical Applications of Massachusetts, Inc. | Clinic/Center | 75 Newbury St, Danvers, MA 01923-1083 | 2015-06-10 |
| 1588067623 | Nxstage Boston South, LLC | Clinic/Center | 500 Providence Hwy Ste 1, Norwood, MA 02062-4960 | 2014-10-03 |
| 1164840484 | Fresenius Medical Care Cnv Marlborough, LLC | Clinic/Center | 360 Cedar Hill St Ste 3, Marlborough, MA 01752-4175 | 2014-04-03 |
| 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.