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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 1447643408 | 05 |
Other Name | Type Code |
---|---|
Kerr Lake Dialysis | Doing Business As Name - Organization |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | DVA HEALTHCARE RENAL CARE INC. | 2000 16th St, Jld/Secgovfin, Denver, Colorado 80202-5117 |
Street Address |
1274 RUIN CREEK ROAD |
City | HENDERSON |
State | NC |
Zip Code | 27537-4168 |
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 |
Find all providers in zip 27537 |
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 |
---|---|---|---|---|
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 |
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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.