DVA HEALTHCARE RENAL CARE INC


Address: 1274 Ruin Creek Road, Henderson, NC 27537-4168
Phone: 2524310233

DVA HEALTHCARE RENAL CARE INC (NPI# 1447643408) 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) 1447643408
Entity Type Organization
Organization Name DVA HEALTHCARE RENAL CARE INC
Other Organization Name KERR LAKE DIALYSIS
Practice Address 1274 Ruin Creek Road
Henderson
NC 27537-4168
Mailing Address 5200 Virginia Way
Brentwood
TN 37027-7569
Practice Telephone 2524310233
Practice Fax Number 2524310252
Mailing Telephone 6153204593
Mailing Fax Number 8002935872
Enumeration Date 2015-03-13
Last Update Date 2020-08-31
Authorized Official Name JOHN 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
NC Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 1447643408 05

Other Provider/Organization Names

Other Name Type Code
Kerr Lake Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831690098 Dva Healthcare Renal Care Inc Clinic/Center 3901 N Roxboro St Ste 108, Durham, NC 27704-2181 2018-02-23
1639695984 Dva Healthcare Renal Care Inc Clinic/Center 209 Nc Highway 111 S, Goldsboro, NC 27534-9253 2017-08-18
1710351531 Dva Healthcare Renal Care Inc Clinic/Center 101 Davita Ln, Elizabeth City, NC 27909-3314 2015-11-17
1851769848 Dva Healthcare Renal Care Inc Clinic/Center 9622 Kincey Ave, Huntersville, NC 28078-9140 2015-09-08
1205116167 Dva Healthcare Renal Care Inc Clinic/Center 11308 Hawthorne Dr, Mint Hill, NC 28227-9300 2011-08-24
1932363744 Dva Healthcare Renal Care Inc Clinic/Center 7260 E Marshville Blvd, Marshville, NC 28103-1191 2008-07-11
1689868739 Dva Healthcare Renal Care Inc Clinic/Center 6620 Old Statesville Rd, Charlotte, NC 28269-6768 2007-08-31
1700815487 Dva Healthcare Renal Care Inc Clinic/Center 3053 State Route 35, Ste 201, Hazlet, NJ 07730-1526 2006-07-03
1508895632 Dva Healthcare Renal Care Inc Clinic/Center 1164 E Route 130, Burlington, NJ 08016-2954 2006-07-01
1740246404 Dva Healthcare Renal Care Inc Clinic/Center 5780 Schaffer Rd, Dubois, PA 15801 2006-04-21

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities DVA HEALTHCARE RENAL CARE INC. 2000 16th St, Jld/Secgovfin, Denver, Colorado 80202-5117

Office Location

Street Address 1274 RUIN CREEK ROAD
City HENDERSON
State NC
Zip Code 27537-4168

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750931564 Bonie Teal Technician 24 Waters Edge Rd, Henderson, NC 27537 2019-09-13
1720517147 Jackson Thompson Specialist/Technologist 296 Cross Creek Rd, Henderson, NC 27537 2017-06-08
1346643160 The Turner Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1945 Carey Chapel Road, Henderson, NC 27537 2014-10-07
1306285994 Brown Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6789 Vicksboro Road, Henderson, NC 27537 2013-06-18
1518306349 Peace Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 80 Bliley Lane, Henderson, NC 27537 2013-06-14
1346555349 New Direction Ministries, Incorporated Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 825 Thomas Road, Henderson, NC 27537 2010-08-13
1326371881 Transforming Therapeutic Intensive Services Clinic/Center 416 Forest Hills Drive, Henderson, NC 27537 2009-09-15
1811166507 D.d. Residential Services, Inc Community/Behavioral Health 941 U.S. 158, Vance Adult Group Home, Henderson, NC 27537 2008-02-27
1083770598 A.g.a.p.e. Community Development Corporation, Inc. Case Management 265 Satterwhite Point Road, Henderson, NC 27537 2006-12-29
1316438948 Beulah Margaret Gracelyn Daniel Nirmal Singh Physical Therapist 2275 Ruin Creek Rd, Henderson, NC 27537 2018-05-18
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508494295 Fresenius Medical Care Nkdhc, LLC Clinic/Center 1000 Wellness Pl, Ste 200, Henderson, NV 89011-2338 2020-03-30
1972139780 Fresenius Medical Care Nkdhc, LLC Clinic/Center 1051 Wellness Pl, Suite 100, Henderson, NV 89011 2020-03-13
1033622337 Bretton Dialysis LLC Clinic/Center 2300 Corporate Cir Ste 100, Henderson, NV 89074-7725 2017-11-08
1780032169 Lofield Dialysis LLC Clinic/Center 2480 Us Highway 41 N Ste J, Henderson, KY 42420-2376 2016-05-26
1922279397 Valley Springs Dialysis LLC Clinic/Center 1510 W Warm Springs Rd, Ste 100, Henderson, NV 89014-3586 2008-03-13
1881650182 Renal Life Link Inc Clinic/Center 70 N Gardenmile Rd, Henderson, KY 42420-5529 2006-04-25
1013970938 Total Renal Care Texas Limited Partnership Clinic/Center 1002 Us Highway 79 N, Henderson, TX 75652-6008 2006-04-11
1558323709 Dva Renal Healthcare Inc Clinic/Center 2530 Anthem Village Dr, Henderson, NV 89052-5548 2006-04-04
1801855481 Dva Renal Healthcare Inc Clinic/Center 854 S Beckford Dr, Henderson, NC 27536-3487 2006-03-21
1487040689 Fresenius Medical Care Nkdhc, LLC Clinic/Center 1661 W Horizon Ridge Pkwy, Ste 101, Henderson, NV 89012-3494 2015-04-14
Find all providers in HENDERSON

Competitor

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City HENDERSON
Zip Code 27537

Improve Information

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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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