COAST DIALYSIS LLC (NPI# 1447531421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447531421 |
| Entity Type | Organization |
| Organization Name | COAST DIALYSIS LLC |
| Other Organization Name | CHARLES TOWNE HOME PROGRAM |
| Practice Address |
1964 Ashley River Rd Suite D-2 Charleston SC 29407-4737 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8435738767 |
| Practice Fax Number | 8435732394 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2019-08-12 |
| 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 |
ERD-0197 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RE0035 | 05 |
| Other Name | Type Code |
|---|---|
| Charles Towne Home Program | Doing Business As Name - Organization |
| Street Address |
1964 ASHLEY RIVER RD SUITE D-2 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-4737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013005834 | Gabriel Mattson | Physical Therapist | 1964 Ashley River Rd, Suite C-1, Charleston, SC 29407-4737 | 2006-10-10 |
| 1316300817 | Anna Elizabeth Williams | Behavioral Analyst | 1964 Ashley River Rd, Charleston, SC 29416-1400 | 2016-04-01 |
| 1447656004 | Kelli Fitzpatrick | Physical Therapist | 1964 Ashley River Rd, Suite C-1, Charleston, SC 29407-4737 | 2014-11-10 |
| 1225384191 | Elizabeth Ponton | Physical Therapist | 1964 Ashley River Rd, Suite C-1, Charleston, SC 29407-4737 | 2012-07-30 |
| 1821379801 | Pointe Dialysis LLC | Clinic/Center | 1964 Ashley River Rd, Suite D-3, Charleston, SC 29407-4737 | 2011-09-02 |
| 1588977862 | Imagine Physical Therapy In West Ashley, LLC | Clinic/Center | 1964 Ashley River Rd, Suite C, Charleston, SC 29407-4737 | 2010-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| 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 |
|---|---|---|---|---|
| 1093187908 | Nkc Charleston, LLC | Clinic/Center | 2270 Ashley Crossing Dr Ste 130a, Charleston, SC 29414-5732 | 2015-10-30 |
| 1730568767 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 2402 S Main Street, Charleston, MO 63834-8624 | 2015-05-22 |
| 1538178108 | Rai Care Centers of South Carolina I, LLC | Clinic/Center | 2080 Charlie Hall Boulevard, Charleston, SC 29414-5830 | 2006-08-05 |
| 1942233325 | Dialysis Clinic Inc. | Clinic/Center | 959 Folly Rd, Charleston, SC 29412-3919 | 2006-07-08 |
| 1407889884 | Dialysis Clinic Inc. | Clinic/Center | 1427 King St., Charleston, SC 29403 | 2006-07-08 |
| 1578596953 | Dialysis Clinic Inc. | Clinic/Center | 2270 Technical Pkwy, Charleston, SC 29406-4930 | 2006-07-08 |
| 1215960794 | Dialysis Clinic Inc. | Clinic/Center | 46 Markfield Dr # Bm, Charleston, SC 29407-6942 | 2006-07-08 |
| 1194794487 | Dva Renal Healthcare Inc | Clinic/Center | 6051 Development Dr, Charleston, IL 61920-9467 | 2006-03-17 |
| 1821379801 | Pointe Dialysis LLC | Clinic/Center | 1964 Ashley River Rd, Suite D-3, Charleston, SC 29407-4737 | 2011-09-02 |
| 1124130950 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 2345 Chesterfield Ave, Charleston, WV 25304-1062 | 2006-08-31 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
Please comment or provide details below to improve the information on COAST DIALYSIS 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.