DVA HEALTHCARE RENAL CARE INC (NPI# 1477515575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477515575 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE RENAL CARE INC |
| Other Organization Name | AIKEN DIALYSIS |
| Practice Address |
775 Medical Park Dr Aiken SC 29801-6306 |
| Mailing Address |
5200 Virginia Way L&c Department Brentwood TN 37027-7569 |
| Practice Telephone | 8036414222 |
| Practice Fax Number | 8036414224 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-08-03 |
| 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 |
ERD-0034 | SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000855709K | 05 | |
| SC | 425123 | 05 |
| Other Name | Type Code |
|---|---|
| Aiken 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 |
| 1447643408 | Dva Healthcare Renal Care Inc | Clinic/Center | 1274 Ruin Creek Road, Henderson, NC 27537-4168 | 2015-03-13 |
| 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 |
| 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 |
775 MEDICAL PARK DR |
| City | AIKEN |
| State | SC |
| Zip Code | 29801-6306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457965501 | Lenda Reashell Barrett | Nurse Practitioner | 775 Medical Park Dr, Aiken, SC 29801-6306 | 2020-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003457557 | Edwin Knight | Technician | 458 Wheat Rd, Aiken, SC 29801 | 2019-10-07 |
| 1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
| 1457820433 | Catherine Reddish | Home Health | 245 Hancock Rd Reddish Health Care Agency, Aiken, SC 29801 | 2018-11-19 |
| 1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
| 1932649654 | Vageo Inc | Clinic/Center | 227 Chesterfiled St S, Aiken, SC 29801 | 2017-02-28 |
| 1629472550 | Andrea Ellis | Nurse Practitioner | 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 | 2014-10-21 |
| 1699177782 | Joyce Walker Pompey | Registered Nurse | 471 University Parkway, Box 11, Aiken, SC 29801 | 2014-09-19 |
| 1578973251 | Rehab Without Walls, Inc. | Clinic/Center | 104 Florence St. Sw, Suite A, Aiken, SC 29801 | 2014-05-02 |
| 1609297571 | Katherine Delucas Duke | Counselor | 1135 Gregg Highway, Aiken, SC 29801 | 2013-12-19 |
| 1811328149 | Lynda Renee Green | Speech-Language Pathologist | 100 Bears Rock Rd., Aiken, SC 29801 | 2013-12-12 |
| Find all providers in zip 29801 | ||||
| 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 |
|---|---|---|---|---|
| 1497271704 | Usrc South Aiken LLC | Clinic/Center | 169 Crepe Myrtle Dr, Aiken, SC 29803-7576 | 2017-08-17 |
| 1629406384 | Usrc North Aiken, LLC | Clinic/Center | 208 University Parkway, Suite 208, Aiken, SC 29801 | 2013-10-16 |
| 1417907809 | Dca of South Aiken LLC | Clinic/Center | 169 Crepe Myrtle Ct, Aiken, SC 29803-7543 | 2006-05-10 |
| 1053374660 | Dca of Aiken, LLC | Clinic/Center | 113 Gregg Ave, Aiken, SC 29801-2797 | 2006-04-07 |
| 1376949610 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 690 Medical Park Dr, Suite 150, Aiken, SC 29801-5385 | 2014-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376160275 | Rco of Moncks Corner, Sc LLC | Clinic/Center | 422 Drive In Lane, Moncks Corner, SC 29461-0000 | 2020-06-26 |
| 1912536384 | Traville Dialysis, LLC | Clinic/Center | 196 Sloane Garden Rd, Boiling Springs, SC 29316-1929 | 2020-04-07 |
| 1992344196 | Sunrays Dialysis, LLC | Clinic/Center | 8080 Augusta Rd, Piedmont, SC 29673-9363 | 2020-01-06 |
| 1407494362 | Dialysis Center of Carolina LLC | Clinic/Center | 325 W Wesmark Blvd Ste A, Sumter, SC 29150-1987 | 2019-12-11 |
| 1194384701 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 214 Dawson Rd, Columbia, SC 29223-1704 | 2019-06-07 |
| 1740845445 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 300 Baxter Brown Way, Summerville, SC 29486-8105 | 2019-05-08 |
| 1730644246 | Lanier Dialysis, LLC | Clinic/Center | 5552 Platt Springs Rd, Lexington, SC 29073-7518 | 2019-02-08 |
| 1568945210 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 5301 Highway 321, Gaston, SC 29053-9196 | 2018-09-10 |
| 1932604527 | Isd Renal Inc | Clinic/Center | 5506 Platt Springs Rd, Lexington, SC 29073-7518 | 2018-03-27 |
| 1740785518 | Jabine Dialysis, LLC | Clinic/Center | 3337 Highway 72-221 E, Greenwood, SC 29649-9772 | 2018-03-26 |
| Find all providers with the same taxonomy | ||||
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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.