DVA RENAL HEALTHCARE INC (NPI# 1457329757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457329757 |
| Entity Type | Organization |
| Organization Name | DVA RENAL HEALTHCARE INC |
| Other Organization Name | ORLANDO SOUTHWEST DIALYSIS |
| Practice Address |
6925 Lake Ellenor Dr Ste 650 Orlando FL 32809-4670 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 4078521751 |
| Practice Fax Number | 4078521748 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER, TREASURER) |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 890573800 | 05 |
| Other Name | Type Code |
|---|---|
| Orlando Southwest Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629415609 | Dva Renal Healthcare Inc | Clinic/Center | 300 B 22nd St South, Birmingham, AL 35233-2209 | 2013-05-30 |
| 1164728408 | Dva Renal Healthcare Inc | Clinic/Center | 415 W Nc Hwy 54, Durham, NC 27713-7516 | 2011-02-03 |
| 1295983245 | Dva Renal Healthcare Inc | Clinic/Center | 1919 Charlotte Ave Ste 200, Nashville, TN 37203-2245 | 2008-09-03 |
| 1811171440 | Dva Renal Healthcare Inc | Clinic/Center | 300 W Broadway Ste 150, Council Bluffs, IA 51503-9077 | 2007-12-18 |
| 1881623585 | Dva Renal Healthcare Inc | Clinic/Center | 271 King St, Perth Amboy, NJ 08861-4488 | 2006-07-03 |
| 1164451852 | Dva Renal Healthcare Inc | Clinic/Center | 262 Texas Rd, Ste 101, Old Bridge, NJ 08857-4008 | 2006-07-03 |
| 1912936618 | Dva Renal Healthcare Inc | Clinic/Center | 1200 Randolph Rd, Muhlenburg Campus, Plainfield, NJ 07060-3361 | 2006-07-03 |
| 1346270782 | Dva Renal Healthcare Inc | Clinic/Center | 230 Van Sciver Pkwy, Willingboro, NJ 08046-1131 | 2006-07-03 |
| 1548299381 | Dva Renal Healthcare Inc | Clinic/Center | 29 Meridian Rd, Edison, NJ 08820-2823 | 2006-07-02 |
| 1548299373 | Dva Renal Healthcare Inc | Clinic/Center | 14-20 Prospect St, East Orange, NJ 07017-2238 | 2006-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DVA Renal Healthcare Inc. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
6925 LAKE ELLENOR DR STE 650 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32809-4670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811211600 | Conservcare, Inc. | Durable Medical Equipment & Medical Supplies | 6925 Lake Ellenor Dr, Suite 600, Orlando, FL 32809-4631 | 2010-03-23 |
| 1619146909 | Tahseen Akram Rawls | Dietitian, Registered | 6925 Lake Ellenor Dr, Suite 650, Orlando, FL 32809-4631 | 2008-02-21 |
| 1871526384 | Bostwick Laboratories Inc | Clinical Medical Laboratory | 6925 Lake Ellenor Dr, Suite 2, Orlando, FL 32809-4631 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634765 | Junie Jean-philippe | Chiropractor | 7130 S Orange Blossom Trail Suite 148, Orlando, FL 32809 | 2020-03-12 |
| 1073030276 | Amanda Wiegert | Counselor | 6000 Lake Ellenor Drive, Orlando, FL 32809 | 2017-08-28 |
| 1780114330 | Fanny Vivas | Counselor | 8000 South Orange Avenue, Suite 111, Orlando, FL 32809 | 2017-06-15 |
| 1588101356 | Coassist Pharmacy, LLC | Pharmacy | 2400 Sand Lake Road, Suite 200, Orlando, FL 32809 | 2017-01-31 |
| 1306203872 | Greidis Villalobos | Counselor | 5957 Estella Way, Orlando, FL 32809 | 2016-01-28 |
| 1891113809 | Orville Mario Morgan | Genetic Counselor, MS | 1220 Evangeline Ave., Orlando, FL 32809 | 2014-04-07 |
| 1669727699 | Hispanic Family Counseling Inc | Social Worker | 6900 S Orange Blossom Trl Ste 402, Orlando, FL 32809 | 2012-07-16 |
| 1548529118 | Laurie Lowe Forbes | Pharmacist | 530 Sunport Lane, Orlando, FL 32809 | 2012-05-16 |
| 1972886307 | Viet H Nguyen | Pharmacist | 7003 Presidents Drive Suite 250, Orlando, FL 32809 | 2011-09-22 |
| 1497042774 | Calren S Wang | Physical Therapy Assistant | 1718 Colleen Dr, Belle Isle, FL 32809 | 2011-07-07 |
| Find all providers in zip 32809 | ||||
| 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 |
|---|---|---|---|---|
| 1720559198 | Caring Heart Metro West Dialysis LLC | Clinic/Center | 1743 Park Center Dr Ste 300, Orlando, FL 32835-7621 | 2018-12-11 |
| 1619450988 | Total Renal Care Inc | Clinic/Center | 828 Mercy Dr, Orlando, FL 32808-7820 | 2018-09-12 |
| 1700369089 | Total Renal Care Inc | Clinic/Center | 7960 Forest City Rd Ste 105, Orlando, FL 32810-2938 | 2018-09-12 |
| 1831690924 | Lourdes Dialysis LLC | Clinic/Center | 8259 Clarcona Ocoee Rd, Orlando, FL 32818-1228 | 2018-02-23 |
| 1861933699 | West Orange Orlando Dialysis Center LLC | Clinic/Center | 828 Mercy Dr Ste 2, Orlando, FL 32808-7820 | 2017-03-13 |
| 1295274595 | Lourdes Dialysis LLC | Clinic/Center | 12001 Science Dr Ste 110, Orlando, FL 32826-2913 | 2017-02-20 |
| 1689126757 | South Central Florida Dialysis Partners LLC | Clinic/Center | 5778 S Semoran Blvd Ste A, Orlando, FL 32822-4819 | 2016-10-25 |
| 1013468438 | Total Renal Care Inc | Clinic/Center | 5778 S Semoran Blvd, Ste A, Orlando, FL 32822-4819 | 2016-10-20 |
| 1942679667 | Central Florida Kidney Centers Inc | Clinic/Center | 401 S Chickasaw Trl, Orlando, FL 32825-7803 | 2015-09-23 |
| 1396124905 | West Orange Maitland Dialysis Center LLC | Clinic/Center | 7960 Forest City Rd, Suite 105, Orlando, FL 32810-2938 | 2015-05-28 |
| Find all providers in ORLANDO | ||||
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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.