DVA RENAL HEALTHCARE, INC. (NPI# 1417926486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417926486 |
| Entity Type | Organization |
| Organization Name | DVA RENAL HEALTHCARE, INC. |
| Other Organization Name | LORING HEIGHTS DIALYSIS |
| Practice Address |
1741 Commerce Dr Nw Ste 405 Atlanta GA 30318-3107 |
| Mailing Address |
5200 Virginia Way L&c Dept. Brentwood TN 37027-7569 |
| Practice Telephone | 4043515758 |
| Practice Fax Number | 4043519470 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2019-04-29 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
ESRD001223 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000656334G | 05 |
| Other Name | Type Code |
|---|---|
| LORING HEIGHTS DIALYSIS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346752607 | Dva Renal Healthcare, Inc. | Clinic/Center | 191 Se Railroad St, Sharpsburg, NC 27878 | 2017-10-26 |
| 1053375030 | Dva Renal Healthcare, Inc. | Clinic/Center | 15225 Carrollton Blvd, Carrollton, VA 23314-2303 | 2006-04-14 |
| 1083678320 | Dva Renal Healthcare, Inc. | Clinic/Center | 5150 Duke St, Alexandria, VA 22304-2906 | 2006-04-13 |
| 1649233222 | Dva Renal Healthcare, Inc. | Clinic/Center | 835 Smithville Hwy, #15, Mc Minnville, TN 37110-1669 | 2006-04-06 |
| 1235199076 | Dva Renal Healthcare, Inc. | Clinic/Center | 2307 S Mount Prospect Rd, Des Plaines, IL 60018-1811 | 2006-03-24 |
| 1801864145 | Dva Renal Healthcare, Inc. | Clinic/Center | 2850 34th St S, Saint Petersburg, FL 33711-3817 | 2006-03-11 |
| 1891763132 | Dva Renal Healthcare, Inc. | Clinic/Center | 2410 S Adams St, Tallahassee, FL 32301-6325 | 2006-03-11 |
| 1326016130 | Dva Renal Healthcare, Inc. | Clinic/Center | 661 9th St N, Naples, FL 34102-8132 | 2006-03-08 |
| 1245208057 | Dva Renal Healthcare, Inc. | Clinic/Center | 860 Ne 125th St, North Miami, FL 33161-5743 | 2006-03-08 |
| 1104893221 | Dva Renal Healthcare, Inc. | Clinic/Center | 2235 S Babcock St, Melbourne, FL 32901 | 2006-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | DVA RENAL HEALTHCARE, INC. | Jld/secgovfin, 2000 16th Street, Denver, CO 80202 |
| Washington State Corporations | DVA RENAL HEALTHCARE, INC. | Jld/secgovfin 2000 16th Street, Denver, CO 80202 |
| Vermont Business Registrations | DVA RENAL HEALTHCARE, INC. | Jld/secgovfin, 2000 16th Street, Denver, CO 80202 |
| Iowa Business Entities | DVA RENAL HEALTHCARE, INC. | Jldsecgovfin 2000 16th Street, Denver, CO 80202 |
| Oklahoma Business Registrations | DVA RENAL HEALTHCARE, INC. | 601 Hawaii St, El Segundo, CA 90245 |
| Massachusetts Corporations | DVA RENAL HEALTHCARE, INC. | 2000 16th Street, Denver, CO 80202 |
| Street Address |
1741 COMMERCE DR NW STE 405 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30318-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1639793664 | 100 Percent Chiropractic Sberger LLC | Chiropractor | 2250 Marietta Blvd, Suite 303, Atlanta, GA 30318 | 2020-06-05 |
| 1326518945 | Sharon Emancia Joseph | Nurse Practitioner | 1517 Whitehead Bluff Nw, Atlanta, GA 30318 | 2018-11-27 |
| 1124597646 | Cindy Denise Oden | Registered Nurse | 1903 Drew Dr Nw, Apt 2200, Atlanta, GA 30318 | 2018-11-14 |
| 1558838052 | Amanda Renee Wilson | Social Worker | 2118 Adams Overlook Nw, Atlanta, GA 30318 | 2018-11-01 |
| 1386135010 | Missions Possible of Atlanta Day Program LLC. | Counselor | 805 Ayrshire Cir Nw, Atlanta, GA 30318 | 2018-05-29 |
| 1295254639 | Danielle Olivia Jones | Counselor | 1391 Collier Road Nw, Apt 1304, Atlanta, GA 30318 | 2017-09-18 |
| 1104372317 | Kera Baker | Massage Therapist | 1397 B Carroll Drive Nw, Atlanta, GA 30318 | 2016-08-28 |
| 1588015648 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1000 Techwood Dr Nw, Atlanta, GA 30318 | 2016-06-29 |
| 1104286707 | B Webb, Inc | Specialist | 1675 Lower Roswell Rd, Marietta, GA 30318 | 2016-02-25 |
| Find all providers in zip 30318 | ||||
| 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 |
|---|---|---|---|---|
| 1013562818 | Menca Dialysis, LLC | Clinic/Center | 3030 Headland Dr Sw Ste C, Atlanta, GA 30311-5435 | 2019-08-08 |
| 1619475217 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 1149 Cascade Pkwy Sw, Atlanta, GA 30311-3090 | 2018-01-29 |
| 1114463601 | Total Renal Care Inc | Clinic/Center | 2045 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-4701 | 2017-01-09 |
| 1477985992 | Emory Dialysis, LLC | Clinic/Center | 5673 Peachtree Dunwoody Rd, Ne, Suite 501, Atlanta, GA 30342 | 2013-08-07 |
| 1558709816 | Total Renal Care Inc | Clinic/Center | 2540 Flat Shoals Rd, Atlanta, GA 30349-4314 | 2013-06-10 |
| 1295005742 | Total Renal Care Inc | Clinic/Center | 540 Central Ave Sw, Atlanta, GA 30312-2735 | 2011-12-30 |
| 1821367830 | Total Renal Care Inc | Clinic/Center | 413b Loop 59, Atlanta, TX 75551-2015 | 2011-12-20 |
| 1013142843 | Emory Dialysis, LLC | Clinic/Center | 610 Northside Dr Nw, Atlanta, GA 30318-6927 | 2009-05-22 |
| 1851594329 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 3651 Bakers Ferry Rd Sw, Atlanta, GA 30331-3712 | 2007-06-11 |
| 1417016551 | South Fulton Dialysis Center LLC | Clinic/Center | 3268 Greenbriar Pkwy Sw, Atlanta, GA 30331-2604 | 2006-12-06 |
| Find all providers in ATLANTA | ||||
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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.