ELMORE DIALYSIS LLC


Address: 241 N Preston Rd Ste A, Prosper, TX 75078-8792
Phone: 9723479268

ELMORE DIALYSIS LLC (NPI# 1477026615) 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) 1477026615
Entity Type Organization
Organization Name ELMORE DIALYSIS LLC
Other Organization Name PROSPER DIALYSIS
Practice Address 241 N Preston Rd Ste A
Prosper
TX 75078-8792
Mailing Address 5200 Virginia Way
Brentwood
TN 37027-7569
Practice Telephone 9723479268
Practice Fax Number 9723479863
Enumeration Date 2019-01-10
Last Update Date 2019-08-27
Authorized Official Name JAMES HILGER (CHIEF ACCOUNTING OFFICER, TREASURER)
Authorized Official Telephone 3105362400
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
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Prosper Dialysis Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
241 N Preston Rd., Prosper, TX 750788792 9723479268

Office Location

Street Address 241 N PRESTON RD STE A
City PROSPER
State TX
Zip Code 75078-8792

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932734936 Qnpham, Pllc Optometrist 4940 W. University Dr, Prosper, TX 75078 2020-03-10
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1003303736 National Vision, Inc. Technician/Technologist 871 South Preston Road, Prosper, TX 75078 2018-04-18
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1164948436 Dental Office of Prosper,pc Dentist 1180 N Preston Rd Suite 20, Prosper, TX 75078 2017-08-18
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1285168039 Wal-mart Stores Texas LLC Durable Medical Equipment & Medical Supplies 500 Richland Boulevard, Prosper, TX 75078 2017-04-19
1679024897 Cvs Pharmacy Inc. Durable Medical Equipment & Medical Supplies 2451 E. University Drive, Prosper, TX 75078 2016-10-24
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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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Competitor

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City PROSPER
Zip Code 75078

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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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