DCA OF CHESAPEAKE LLC (NPI# 1477516904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477516904 |
Entity Type | Organization |
Organization Name | DCA OF CHESAPEAKE LLC |
Other Organization Name | U S RENAL CARE CHESAPEAKE DIALYSIS |
Practice Address |
305 College Pkwy Arnold MD 21012-2912 |
Mailing Address |
Po Box 19119 Jonesboro AR 72403-6601 |
Practice Telephone | 4104315106 |
Practice Fax Number | 4104315051 |
Mailing Telephone | 8709315400 |
Mailing Fax Number | 8709315418 |
Enumeration Date | 2006-04-07 |
Last Update Date | 2018-06-21 |
Authorized Official Name | MR. THOMAS L WEINBERG (VICE PRESIDENT & SECRETARY) |
Authorized Official Telephone | 2147362700 |
Is Organization Subpart | Y |
Parent Organization Name | U S RENAL CARE INC |
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 |
---|---|---|---|
MD | CAREFIRST BCBS | 22SX | 01 |
MD | 411643700 | 05 | |
DC | 038512500 | 05 | |
MD | UNITED HEALTHCARE | 5001680 | 01 |
Other Name | Type Code |
---|---|
U S Renal Care Chesapeake Dialysis | Doing Business As Name - Organization |
Street Address |
305 COLLEGE PKWY |
City | ARNOLD |
State | MD |
Zip Code | 21012-2912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174527055 | Bay Manor Nursing Home, Inc. | Skilled Nursing Facility | 305 College Pkwy, Arnold, MD 21012-2912 | 2005-06-09 |
1982068847 | Bay Manor Nursing Home, Inc. | Skilled Nursing Facility | 305 College Pkwy, Arnold, MD 21012-2912 | 2016-04-07 |
1760602981 | Renata Ordon | Dietitian, Registered | 305 College Pkwy, Arnold, MD 21012-2912 | 2007-04-27 |
1649210717 | Susan Chisholm | Nurse Practitioner | 305 College Pkwy, Arnold, MD 21012-2912 | 2006-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750940581 | Hope Psych Services LLC | Counselor | 273 Peninsula Farm Road, Building 2 Suite F, Arnold, MD 21012 | 2019-06-05 |
1912411877 | Kristen Sanniec | Counselor | 277 Peninsula Farm Rd Ste J, Arnold, MD 21012 | 2017-11-29 |
1942726260 | Stephen Seo | Pharmacist | 1230 Bay Dale Drive, Arnold, MD 21012 | 2017-08-17 |
1467989723 | Stacey Schuchard | Social Worker | 122 Brent Rd, Arnold, MD 21012 | 2017-05-17 |
1306201199 | Domicare Health Corp | Home Health | 709 Capri Estates Ct, Arnold, MD 21012 | 2015-12-21 |
1841534260 | Arnold Veterinary Medical Group, Ltd | Special Hospital | 1414 Ritchie Highway, Arnold Veterinary Hospital, Arnold, MD 21012 | 2012-11-26 |
1629398334 | Jessica Ami Collins | Social Worker | 1298 Bay Dale Dr Ste 11, Arnold, MD 21012 | 2010-06-03 |
1447407523 | Safe Harbor Christian Counseling of Annapolis Inc | Counselor | 461 College Parkway, Arnold, MD 21012 | 2008-08-20 |
1992979009 | Sheri Berberian | Speech-Language Pathologist | 1215 Viking Drive North, Arnold, MD 21012 | 2008-04-18 |
1467583823 | Henrik L Anderson | Dentist | 269b Peninsula Farm Road, Broadneck Medical Center, Arnold, MD 21012 | 2007-03-08 |
Find all providers in zip 21012 |
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 |
---|---|---|---|---|
1093182818 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 2194 Michigan Ave, Arnold, MO 63010-2145 | 2015-08-27 |
1851689335 | Total Renal Care Inc | Clinic/Center | 102 Richardson Xing, Arnold, MO 63010-6023 | 2011-07-18 |
1629336599 | Palmetto Dialysis LLC | Clinic/Center | 102 Richardson Xing, Arnold, MO 63010-6023 | 2012-04-30 |
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1710547344 | Fresenius Medical Care Fairmount Heights, LLC | Clinic/Center | 6301 Walker Mill Rd, District Heights, MD 83070 | 2019-06-17 |
1740840503 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 163 Jennifer Rd Ste A, Annapolis, MD 21401-3043 | 2019-06-14 |
1538725965 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 3000 N Ridge Rd Ste A, Ellicott City, MD 21043-3311 | 2019-05-10 |
1851957286 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 3419 Plumtree Dr Ste 103, Ellicott City, MD 21042-3871 | 2019-05-10 |
1144783598 | Fresenius Medical Care Southern Maryland Home, LLC | Clinic/Center | 3510 Old Washington Rd Ste 300, Waldorf, MD 20602-3236 | 2019-04-12 |
1205399854 | Mather Dialysis LLC | Clinic/Center | 1840 York Rd Ste A, Lutherville Timonium, MD 21093-5121 | 2019-04-10 |
1598228249 | Concerto Maryland LLC | Clinic/Center | 1531 S Edgewood St Ste D, Halethorpe, MD 21227-1138 | 2019-04-10 |
1346709037 | Dialyze Direct Md, LLC | Clinic/Center | 502 Mccormick Dr, Glen Burnie, MD 21061-3216 | 2019-03-13 |
1306323050 | Wyota Dialysis, LLC | Clinic/Center | 11700 Livingston Rd, Fort Washington, MD 20744-5150 | 2018-07-25 |
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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.