RAI CARE CENTERS OF MICHIGAN I, LLC (NPI# 1477647139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477647139 |
| Entity Type | Organization |
| Organization Name | RAI CARE CENTERS OF MICHIGAN I, LLC |
| Other Organization Name | RAI-ROCKFORD PARK-ROCKFORD |
| Practice Address |
311 Rockford Park Dr Ne Rockford MI 49341-7817 |
| Practice Telephone | 6168636214 |
| Practice Fax Number | 6168636445 |
| Mailing Telephone | 6168636214 |
| Mailing Fax Number | 6168636445 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | MR. MARK R FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, 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 |
|---|---|---|---|
| MI | BCBS | 08938 | 01 |
| MI | BCBS | 09449 | 01 |
| MI | 404836112 | 05 |
| Other Name | Type Code |
|---|---|
| RAI-Rockford Park-Rockford | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851486344 | Rai Care Centers of Michigan I, LLC | Clinic/Center | 2 Royal Park Drive, Zeeland, MI 49464-2068 | 2006-10-03 |
| 1245324045 | Rai Care Centers of Michigan I, LLC | Clinic/Center | 200 South East Ave., Jackson, MI 49201-2414 | 2006-10-03 |
| 1518051952 | Rai Care Centers of Michigan I, LLC | Clinic/Center | 4893 Clyde Park Ave., Sw, Wyoming, MI 49509-5117 | 2006-10-02 |
| Street Address |
311 ROCKFORD PARK DR NE |
| City | ROCKFORD |
| State | MI |
| Zip Code | 49341-7817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801451836 | Heather Nash | Social Worker | 65 S. Main Street, Lower Level, Rockford, MI 49341 | 2019-05-06 |
| 1366967069 | Caitlin Lebron | Case Manager/Care Coordinator | 8625 Wildcat Run Dr Ne, Rockford, MI 49341 | 2017-08-03 |
| 1366967077 | Elite Nurse Staffing, LLC | Nursing Care | 3836 Windwood Drive, Ne, Rockford, MI 49341 | 2017-08-03 |
| 1336678747 | Melissa Diane Maynard | Behavior Technician | 3361 36th St., Grand Rapids, MI 49341 | 2017-06-08 |
| 1376077453 | Spectrum Health Primary Care Partners | Internal Medicine | 8501 Meadowcreek Dr, Rockford, MI 49341 | 2017-04-17 |
| 1871025254 | Robin D Dine | Behavior Technician | 8636 Shaner Ave, Rockford, MI 49341 | 2017-04-03 |
| 1528503216 | Miles Skalnek | Pharmacist | 511 10 Mile Road, Rockford, MI 49341 | 2017-01-04 |
| 1366801664 | Lorri Ann Kelbel | Massage Therapist | 11591 Northland Drive Ne, Rockford, MI 49341 | 2016-02-15 |
| 1275872046 | Eugene Louis Bonofiglo | Dentist | 4655- 14 Mile Rd Ne, Rockford, MI 49341 | 2013-02-13 |
| 1740539246 | Erica Joyce Nichols | Chiropractor | 6769 Courtland Dr, Suite 100, Rockford, MI 49341 | 2012-08-30 |
| Find all providers in zip 49341 | ||||
| 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 |
|---|---|---|---|---|
| 1871092510 | Dialysis of Northern Illinois LLC | Clinic/Center | 3927 W Riverside Blvd, Rockford, IL 61101-9507 | 2018-02-08 |
| 1033658349 | Machesney Bay Dialysis, LLC | Clinic/Center | 198 N Springfield Ave, Rockford, IL 61101-5086 | 2017-02-20 |
| 1518276955 | Total Renal Care Inc | Clinic/Center | 1302 E State St, Rockford, IL 61104-2228 | 2010-10-04 |
| 1154436905 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 1302 E. State Street, Rockford, IL 61112-1061 | 2006-08-20 |
| 1285694729 | Renal Treatment Centers Illinois Inc | Clinic/Center | 417 Ware Ave, Rockford, IL 61107-6413 | 2006-03-27 |
| 1003875402 | Dialysis of Northern Illinois LLC | Clinic/Center | 622 Roxbury Rd, Rockford, IL 61107-5089 | 2006-03-23 |
| 1235198235 | Renal Treatment Centers Illinois Inc | Clinic/Center | 3339 N Rockton Ave, Rockford, IL 61103-2839 | 2006-03-20 |
| 1962873919 | Renviva LLC | Clinic/Center | 1235 N Mulford Rd, Rockford, IL 61107-3879 | 2015-10-16 |
| 1922410125 | Home Dialysis Services Rockford LLC | Clinic/Center | 6940 Villagreen Vw, Rockford, IL 61107-5605 | 2014-05-22 |
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|---|---|---|---|---|
| 1801497961 | Saint Marina Home Dialysis LLC | Clinic/Center | 26711 Northwestern Hwy Ste 125, Southfield, MI 48033-2170 | 2020-11-05 |
| 1144820226 | Heritage Home Dialysis LLC | Clinic/Center | 1580 N Leroy St Ste 6, Fenton, MI 48430-2801 | 2020-10-28 |
| 1386262350 | Delta Renal Care Pllc | Clinic/Center | 3981 Elizabeth Ave, Canton, MI 48188-7223 | 2020-07-07 |
| 1457973257 | Fms Owosso, LLC | Clinic/Center | 918 Corunna Ave, Owosso, MI 48867-3768 | 2020-05-14 |
| 1023650926 | Falmont Dialysis LLC | Clinic/Center | 37290 5 Mile Rd, Livonia, MI 48154-1848 | 2019-10-11 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1487123600 | Concerto Michigan LLC | Clinic/Center | 14700 Farmington Rd Ste 108, Livonia, MI 48154-5462 | 2018-11-16 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1851886592 | Fms Rochester Hills, LLC | Clinic/Center | 26400 W 12 Mile Rd Ste 112, Southfield, MI 48034-1785 | 2018-06-26 |
| 1801399753 | Kasaskia Dialysis LLC | Clinic/Center | 18001 E 10 Mile Rd Ste B, Roseville, MI 48066-3803 | 2018-03-16 |
| 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.