INTERNATIONAL DIALYSIS CENTER, LLC (NPI# 1528290590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528290590 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL DIALYSIS CENTER, LLC |
| Practice Address |
1730 Hamlin St Ne Washington DC 20018-1838 |
| Mailing Address |
7061 Cypress Rd Suite 104 Plantation FL 33317-2243 |
| Practice Telephone | 9544747701 |
| Practice Fax Number | 9544747702 |
| Mailing Telephone | 9544747701 |
| Mailing Fax Number | 9544747702 |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2009-08-24 |
| Authorized Official Name | MS. VICKI L BURRIER (PRESIDENT) |
| Authorized Official Telephone | 9544747701 |
| Authorized Official Credential | R.N. |
| 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 |
PENDING | DC | Ambulatory Health Care Facilities |
| Street Address |
1730 HAMLIN ST NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20018-1838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932468923 | Total Renal Care Inc | Clinic/Center | 1730 Hamlin St Ne, Washington, DC 20018-1838 | 2012-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438712 | Veronica Anita Rose | Technician | 3005 Bladensburg Rd Ne Apt 306, Washington, DC 20018 | 2020-08-17 |
| 1851910293 | Justina Christina Okougbo | Nurse Practitioner | 1242 12th St Ne Washington D.c., Washington, DC 20018 | 2020-04-15 |
| 1821629304 | Claire Cinque | Physical Therapy Assistant | 2601 18th Street Nw, Washington, DC 20018 | 2020-02-03 |
| 1669025474 | Chase Associates, LLC | Community/Behavioral Health | 2300 Washington Pl. Ne, Suite 423, Washington, DC 20018 | 2019-07-20 |
| 1407328446 | Howard Mabry | Psychologist | 2218 Rhode Island Avenue, Washington, DC 20018 | 2018-12-31 |
| 1760968697 | Velma Enjie Tebo | Home Health Aide | 1511 Franklin St Ne Apt 510, Washington, DC 20018 | 2018-07-13 |
| 1346744141 | Jacques Vanel Siewe Mbouwe | Home Health Aide | 3508 Commodore Joshua Barney Drive N.e, Apt #t3, Washington, DC 20018 | 2018-03-19 |
| 1376050658 | Marlena Hunt | Technician | 2504 10th St. Ne, Apt 404, Washington, DC 20018 | 2018-01-08 |
| 1245745926 | Mirabel Timben Mbah | Home Health Aide | 2010 Rhode Island Ave, 2nd Floor, North East, DC 20018 | 2017-12-04 |
| 1356855332 | St Judes Dental Clinic | Dentist | 2802 Rhode Island Ave Ne # 1, Washington, DC 20018 | 2017-11-28 |
| Find all providers in zip 20018 | ||||
| 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 |
|---|---|---|---|---|
| 1427441948 | Leaton Dialysis LLC | Clinic/Center | 1225 S Capitol St Sw, Washington, DC 20003-3524 | 2015-03-09 |
| 1194138669 | Rai Care Centers of Southeast Dc, LLC | Clinic/Center | 1918 14th St Se, Washington, DC 20020-4867 | 2014-06-03 |
| 1467889469 | Total Renal Care Inc | Clinic/Center | 1040 Washington Sq, Washington, MO 63090-5302 | 2013-10-04 |
| 1184934200 | Rai Care Centers of Dc I LLC | Clinic/Center | 6411 Chillum Pl Nw, Washington, DC 20012-2133 | 2010-10-08 |
| 1548573330 | Biniam K Haileab | Clinic/Center | 1 Dupont Cir Nw, Washington, DC 20036-1110 | 2010-07-21 |
| 1770773939 | Capitol Dialysis LLC | Clinic/Center | 2601 18th St, Washington, DC 20018-1301 | 2007-07-25 |
| 1750423869 | Affiliated Home Dialysis LLC | Clinic/Center | 2462 Washington Rd, Washington, IL 61571-1756 | 2007-02-13 |
| 1427145176 | Medstar - Georgetown Medical Center, Inc. | Clinic/Center | 3800 Reservoir Rd., Nw, Washington, DC 20007-2113 | 2006-10-06 |
| 1861596736 | Bio-medical Applications of Capitol Hill, Inc. | Clinic/Center | 900 M St Se, Washington, DC 20003-3614 | 2006-09-12 |
| 1497859367 | Bio-medical Applications of The District of Columbia, Inc. | Clinic/Center | 11 Dupont Cir Nw, Washington, DC 20036-1248 | 2006-09-12 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20018 |
Please comment or provide details below to improve the information on INTERNATIONAL 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.