WEST ORANGE MAITLAND DIALYSIS CENTER LLC (NPI# 1396124905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396124905 |
| Entity Type | Organization |
| Organization Name | WEST ORANGE MAITLAND DIALYSIS CENTER LLC |
| Other Organization Name | FRESENIUS KIDNEY CARE MAITLAND |
| Practice Address |
7960 Forest City Rd Suite 105 Orlando FL 32810-2938 |
| Practice Telephone | 4072978408 |
| Practice Fax Number | 8888665877 |
| Mailing Telephone | 4072978408 |
| Mailing Fax Number | 8888665877 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | JAMES JOSEPH DIVITO (VICE PRESIDENT) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fresenius Kidney Care Maitland | Doing Business As Name - Organization |
| Street Address |
7960 FOREST CITY RD SUITE 105 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32810-2938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720533870 | Prime Radiology of Maitland Inc | Radiology | 7960 Forest City Rd, Suite 102, Orlando, FL 32810-2938 | 2016-08-18 |
| 1689127862 | Care America At Maitland, LLC | Pharmacy | 7960 Forest City Rd, Ste 101, Orlando, FL 32810-2938 | 2016-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1598273666 | Taylor Elizabeth Marshall | Behavior Technician | 3701 Maitland Summit Blvd, Orlando, FL 32810 | 2018-01-11 |
| 1962920595 | Sister With Destiny | Adult Companion | 5214 N. O. B. T Apt 103, Orlando, FL 32810 | 2017-09-04 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1407380603 | Naho Hattori | Student in an Organized Health Care Education/Training Program | 1800 Pembrook Dr Ste 200, Orlando, FL 32810 | 2017-04-13 |
| 1245774801 | Elite Physical Therapy & Health Care Services | Community/Behavioral Health | 5104 North Orange Blossom Trail, Suite 119, Orlando, FL 32810 | 2016-12-15 |
| 1841746518 | Marie Yveline Mauger | Licensed Practical Nurse | 4400 Park Eden Cir, Orlando, FL 32810 | 2016-08-31 |
| 1548619950 | Predestined 4 Purpose Inc | Home Health | 6826 Gadwall Lane, Orlando, FL 32810 | 2016-06-07 |
| 1881058998 | Xuong Vong | Massage Therapist | 9301 Summit Centre Way, Maitland, FL 32810 | 2016-04-06 |
| 1760862726 | Edwin Colon | Case Management | 2660 Environs Blvd, Orlando, FL 32810 | 2015-06-04 |
| Find all providers in zip 32810 | ||||
| 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 |
|---|---|---|---|---|
| 1720559198 | Caring Heart Metro West Dialysis LLC | Clinic/Center | 1743 Park Center Dr Ste 300, Orlando, FL 32835-7621 | 2018-12-11 |
| 1619450988 | Total Renal Care Inc | Clinic/Center | 828 Mercy Dr, Orlando, FL 32808-7820 | 2018-09-12 |
| 1700369089 | Total Renal Care Inc | Clinic/Center | 7960 Forest City Rd Ste 105, Orlando, FL 32810-2938 | 2018-09-12 |
| 1831690924 | Lourdes Dialysis LLC | Clinic/Center | 8259 Clarcona Ocoee Rd, Orlando, FL 32818-1228 | 2018-02-23 |
| 1861933699 | West Orange Orlando Dialysis Center LLC | Clinic/Center | 828 Mercy Dr Ste 2, Orlando, FL 32808-7820 | 2017-03-13 |
| 1295274595 | Lourdes Dialysis LLC | Clinic/Center | 12001 Science Dr Ste 110, Orlando, FL 32826-2913 | 2017-02-20 |
| 1689126757 | South Central Florida Dialysis Partners LLC | Clinic/Center | 5778 S Semoran Blvd Ste A, Orlando, FL 32822-4819 | 2016-10-25 |
| 1013468438 | Total Renal Care Inc | Clinic/Center | 5778 S Semoran Blvd, Ste A, Orlando, FL 32822-4819 | 2016-10-20 |
| 1942679667 | Central Florida Kidney Centers Inc | Clinic/Center | 401 S Chickasaw Trl, Orlando, FL 32825-7803 | 2015-09-23 |
| 1821427782 | Orlando Pillar Dialysis, LLC | Clinic/Center | 5401 South Kirkman Road, Suite 310, Orlando, FL 32819-7940 | 2013-11-01 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on WEST ORANGE MAITLAND DIALYSIS CENTER 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.