RENAL TREATMENT CENTERS SOUTHEAST LP


Address: 148 Hector Avenue, Gretna, LA 70056-2531
Phone: 5043761603

RENAL TREATMENT CENTERS SOUTHEAST LP (NPI# 1417975442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417975442
Entity Type Organization
Organization Name RENAL TREATMENT CENTERS SOUTHEAST LP
Other Organization Name OAKWOOD DIALYSIS CENTER
Practice Address 148 Hector Avenue
Gretna
LA 70056-2531
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 5043761603
Practice Fax Number 5043762364
Mailing Telephone 6153416764
Mailing Fax Number 8337816999
Enumeration Date 2006-07-17
Last Update Date 2020-08-28
Authorized Official Name JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334501
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
PENDING LA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA 1458236 05

Other Provider/Organization Names

Other Name Type Code
Oakwood Dialysis Center Doing Business As Name - Organization

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1992134340 Renal Treatment Centers Southeast Lp Clinic/Center 5406 Highway 280, Suite D107, Birmingham, AL 35242-6592 2013-11-06
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Office Location

Street Address 148 HECTOR AVENUE
City GRETNA
State LA
Zip Code 70056-2531

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023634169 Krewe Wellness Counselor 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 2020-06-24
1205459732 Gulf Coast Medical Specialists LLC Internal Medicine 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 2020-05-19
1427530872 Anna Marie Mckeon Jr. Social Worker 410 W. Butterfly Circle, Terrytown, LA 70056 2018-09-02
1558843219 Nikell Thompson Fortia Non-emergency Medical Transport (VAN) 561 Morningside Dr, Gretna, LA 70056 2018-08-29
1861979379 Irajuan L Cooley Case Manager/Care Coordinator 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 2018-07-26
1457842528 Veronica Stevenson Case Manager/Care Coordinator 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 2018-05-24
1184126278 Elesha Loston Case Manager/Care Coordinator 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 2018-03-05
1336656149 Porsha D Causey Counselor 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 2018-01-02
1265950745 Tamika Nicole Deville Counselor Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 2017-09-05
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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1265465645 Dialysis Clinic Inc. Clinic/Center 1010 Behrman Hwy, Gretna, LA 70056-4566 2006-07-08
1194357459 Southern Kidney Specialists - Gretna LLC Clinic/Center 959 Behrman Hwy, Gretna, LA 70056-4550 2020-02-05

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1790263697 Bio-medical Applications of Louisiana, LLC Clinic/Center 6101 Elysian Fields Ave, New Orleans, LA 70122-4209 2018-08-02
1881192540 Isd Renal Inc Clinic/Center 3999 Highway 190 East Service Rd Ste A, Covington, LA 70433-4914 2018-01-29
1629583281 Bio-medical Applications Louisiana, LLC Clinic/Center 2500 Louisiana Ave, New Orleans, LA 70115-6036 2017-12-05
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Competitor

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City GRETNA
Zip Code 70056

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Dataset Information

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.

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