TRC - GEORGETOWN REGIONAL DIALYSIS LLC (NPI# 1508827965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508827965 |
| Entity Type | Organization |
| Organization Name | TRC - GEORGETOWN REGIONAL DIALYSIS LLC |
| Other Organization Name | RIVERTOWNE DIALYSIS |
| Practice Address |
6169 Livingston Rd Oxon Hill MD 20745-3006 |
| Mailing Address |
5200 Virginia Way L&c Department Brentwood TN 37027-7569 |
| Practice Telephone | 3018394105 |
| Practice Fax Number | 3018394106 |
| Mailing Telephone | 6153204214 |
| Mailing Fax Number | 8669443352 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-04-20 |
| 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 |
E2621 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | STATE LICENSE | E2621 | 01 |
| MD | 401250000 | 05 |
| Other Name | Type Code |
|---|---|
| Rivertowne Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942276134 | Trc - Georgetown Regional Dialysis LLC | Clinic/Center | 810 1st St Ne, Ste 100, Washington, DC 20002-4227 | 2006-02-27 |
| 1386610558 | Trc - Georgetown Regional Dialysis LLC | Clinic/Center | 2233 Wisconsin Ave Nw Ste 215, Washington, DC 20007-4119 | 2006-02-27 |
| Street Address |
6169 LIVINGSTON RD |
| City | OXON HILL |
| State | MD |
| Zip Code | 20745-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568086304 | Envue Eye & Laser Center LLC | Ophthalmology | 251 Harbor Blvd, Oxon Hill, MD 20745 | 2020-06-06 |
| 1902441264 | Dean Hasan | Pharmacist | 6163 Oxon Hill Road, National Harbor, MD 20745 | 2019-11-11 |
| 1093360570 | Ebony D Mckinley | Social Worker | 6188 Oxon Hill Road Suite 500, Oxon Hill, MD 20745 | 2019-08-02 |
| 1134691579 | Lisa Mellynchuk | Occupational Therapist | 1400 Nalley Terrance, Room 16, Landover, MD 20745 | 2018-12-26 |
| 1083102438 | Prince George's County Health Department | Family Medicine | 6701 Leyte Drive, Oxon Hill, MD 20745 | 2018-05-01 |
| 1841710746 | Courtnee Carroll | Technician | 5612 Dundalk Dr, Oxon Hill, MD 20745 | 2017-06-21 |
| 1699217679 | Charity Oronos | Physical Therapist | 6981 Oxon Hill Rd, Oxon Hill, MD 20745 | 2016-11-08 |
| 1689004913 | Gerald Jerome Smith | Dentist | 5306 Wheeler Road, Oxon Hill, MD 20745 | 2013-11-22 |
| 1427487644 | Harborside Urgent Care | Clinic/Center | 215 American Way, National Harbor, MD 20745 | 2013-11-07 |
| 1417385840 | Nursing Unlimited Services, Inc | Home Health | 909 East Meadow Ct, Oxon Hill, MD 20745 | 2013-10-22 |
| Find all providers in zip 20745 | ||||
| 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 |
|---|---|---|---|---|
| 1669748190 | Dialysis Newco Inc | Clinic/Center | 5410 Indian Head Hwy, Oxon Hill, MD 20745-2021 | 2012-03-29 |
| 1497029664 | Whitney Dialysis LLC | Clinic/Center | 5442 Saint Barnabas Rd, Oxon Hill, MD 20745-3622 | 2012-03-05 |
| 1013000603 | Rai Care Centers of Maryland I, LLC | Clinic/Center | 5410 Indian Head Highway, Oxon Hill, MD 20745-2021 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023648284 | Fresenius Medical Care Bowie, LLC | Clinic/Center | 16300 Heritage Blvd, Bowie, MD 20716-3106 | 2020-01-16 |
| 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 |
| 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.