SOUTHWEST KIDNEY DIALYSIS, LLC (NPI# 1518973932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518973932 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST KIDNEY DIALYSIS, LLC |
| Other Organization Name | SOUTHWEST KIDNEY DIALYSIS - ESTRELLA |
| Practice Address |
8410 W Thomas Road Building 1, Suite 100 Phoenix AZ 85037-3494 |
| Mailing Address |
2149 E Warner Rd Suite 101 Tempe AZ 85284-3494 |
| Practice Telephone | 4806106118 |
| Practice Fax Number | 4806106195 |
| Mailing Telephone | 6232470808 |
| Mailing Fax Number | 6232479235 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-26 |
| Authorized Official Name | MICHELLE R. MAUVAIS (CHEIF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4806106110 |
| 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 |
AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE | 032612 | 01 |
| Other Name | Type Code |
|---|---|
| Southwest Kidney Dialysis - Estrella | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346436532 | Southwest Kidney Dialysis, LLC | Clinic/Center | 10238 E. Hampton Avenue, Suite 108, Mesa, AZ 85209 | 2007-09-20 |
| 1134178007 | Southwest Kidney Dialysis, LLC | Clinic/Center | 2149 E Warner Rd, Suite 110, Tempe, AZ 85284-3494 | 2006-05-09 |
| 1487603478 | Southwest Kidney Dialysis, LLC | Clinic/Center | 5222 E Baseline Rd, Suite 104, Gilbert, AZ 85234-2963 | 2006-05-08 |
| 1770700171 | Southwest Kidney Dialysis, LLC | Clinic/Center | 20325 N 51st Ave, Building 11, Suite 186, Glendale, AZ 85308-5674 | 2007-04-19 |
| 1336155753 | Southwest Kidney Dialysis, LLC | Clinic/Center | 337 E Coronado Rd, Suite 101, Phoenix, AZ 85004-1580 | 2006-07-31 |
| 1053360925 | Southwest Kidney Dialysis, LLC | Clinic/Center | 20325 N 51st Ave, Building 11 Suite 184, Glendale, AZ 85308-5674 | 2006-05-09 |
| Street Address |
8410 W THOMAS ROAD BUILDING 1, SUITE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85037-3494 |
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| 1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
| 1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
| 1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
| 1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
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| 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 |
|---|---|---|---|---|
| 1649730953 | Scottsdale Kidney Center LLC | Clinic/Center | 6970 E Chauncey Ln Ste 130, Phoenix, AZ 85054-5159 | 2019-03-22 |
| 1932688256 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 926 E Mcdowell Rd Ste 100, Phoenix, AZ 85006-2503 | 2018-08-08 |
| 1982152484 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 4901 W Mcdowell Rd Ste 120, Phoenix, AZ 85035-4160 | 2016-09-14 |
| 1528442779 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 16605 N 28th Ave Ste 100, Phoenix, AZ 85053-7551 | 2015-07-17 |
| 1295070761 | Calaveras Dialysis LLC | Clinic/Center | 5115 E Thomas Rd, Ste 115, Phoenix, AZ 85018-7914 | 2012-12-10 |
| 1801050604 | Southwest Kidney-davita Dialysis Partners LLC | Clinic/Center | 3540 E Baseline Rd Ste 110, Phoenix, AZ 85042-9628 | 2008-07-11 |
| 1770758526 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 4845 W Mcdowell Rd, Ste 10a, 20a, 30a, Phoenix, AZ 85035-4076 | 2008-04-23 |
| 1891897211 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 1957 W Dunlap Ave Ste 6c, Phoenix, AZ 85021-2985 | 2006-09-05 |
| 1053423954 | Bio-medical Applications of Arizona LLC | Clinic/Center | 3421 N 7th Ave, Phoenix, AZ 85013-3635 | 2006-08-31 |
| 1477665289 | Renal Dimensions, LLC | Clinic/Center | 15930 S 48th St, Suite 100, Phoenix, AZ 85048-0903 | 2006-08-31 |
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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.