INDIAN RIVER DIALYSIS CENTER LLC (NPI# 1528113156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528113156 |
| Entity Type | Organization |
| Organization Name | INDIAN RIVER DIALYSIS CENTER LLC |
| Other Organization Name | INDIAN RIVER DIALYSIS CENTER |
| Practice Address |
2150 45th St Unit 102 Vero Beach FL 32967-6281 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 7725672529 |
| Practice Fax Number | 7725672587 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | JAMES K HILGER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 892619100 | 05 |
| Other Name | Type Code |
|---|---|
| Indian River Dialysis Center | Doing Business As Name - Organization |
| Street Address |
2150 45TH ST UNIT 102 |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32967-6281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659921401 | Carehere LLC | Family Medicine | Carehere Clinic- Indian River Schools, 5255 41st Street, Vero Beach, FL 32967 | 2019-09-13 |
| 1871033605 | Answered Call Inc | Day Training, Developmentally Disabled Services | 4715 51st Ct., Vero Beach, FL 32967 | 2017-02-27 |
| 1962888529 | Affinity Home Care Agency, Inc. | In Home Supportive Care | 4070 42nd Square, Vero Beach, FL 32967 | 2015-08-06 |
| 1467693051 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 2500 53rd Street, Vero Beach, FL 32967 | 2009-03-12 |
| 1578708442 | Michael Andaya | Physical Therapist | 910 Regency Square, Vero Beach, FL 32967 | 2008-12-08 |
| 1689793473 | Stanley Vinet | Physical Therapist | 5906 Brae Burn Circle, Vero Beach, FL 32967 | 2007-03-29 |
| 1376669150 | Patrick Kent Brueggeman | Podiatrist | 5176 Formosa Cir, Vero Beach, FL 32967 | 2007-03-22 |
| 1487726923 | David Tingle | Psychiatry & Neurology | 5880 Clubhouse Drive, Vera Beach, FL 32967 | 2006-11-13 |
| 1225133051 | Holiday Cvs LLC | Pharmacy | 8495 S Federal Hwy, Vero Beach, FL 32967 | 2006-09-14 |
| 1336133669 | Natalie Taylor | Nurse Practitioner | 6770 49th Street, Vero Beach, FL 32967 | 2005-09-01 |
| Find all providers in zip 32967 | ||||
| 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 |
|---|---|---|---|---|
| 1235607144 | Bonister Dialysis, LLC | Clinic/Center | 5947 20th St, Vero Beach, FL 32966-4676 | 2018-11-08 |
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1710937511 | National Medical Care Inc | Clinic/Center | 1515 Indian River Blvd, Rcc Vero Beach Ste A 101, Vero Beach, FL 32960 | 2006-05-11 |
| 1821447962 | Bonister Dialysis, LLC | Clinic/Center | 100 S Us Highway 1, Vero Beach, FL 32962-3630 | 2016-06-09 |
| 1730357393 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 1515 Indian River Blvd, Ste. A-101 Ckd Services of Vero Beach, Vero Beach, FL 32960-5627 | 2008-02-18 |
| 1194769901 | National Medical Care, Inc. | Clinic/Center | 1515 Indian River Blvd, Vero Beach, FL 32960-5627 | 2006-06-15 |
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| 1750992814 | Swain Dialysis Renal Center | Clinic/Center | 1923 Nw 43rd St, Miami, FL 33142-4777 | 2020-08-12 |
| 1396355525 | Kidney Partners Coral Gables LLC | Clinic/Center | 835 Sw 37th Ave, Miami, FL 33135-4289 | 2020-08-03 |
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| 1285250522 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 775 Gateway Dr Ste 1010, Altamonte Springs, FL 32714-1524 | 2020-06-23 |
| 1992321244 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 | 2020-06-23 |
| 1023630886 | Fresenius Medical Care Apollo Beach, LLC | Clinic/Center | 3002 E College Ave, Ruskin, FL 33570-5220 | 2020-05-14 |
| 1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
| 1487274734 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
| City | VERO BEACH |
| Zip Code | 32967 |
Please comment or provide details below to improve the information on INDIAN RIVER DIALYSIS CENTER LLC.
| 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.