RENAL LIFE LINK INC (NPI# 1548224082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548224082 |
| Entity Type | Organization |
| Organization Name | RENAL LIFE LINK INC |
| Other Organization Name | EAST EVANSVILLE DIALYSIS |
| Practice Address |
1312 Professional Blvd Evansville IN 47714-8007 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8124916300 |
| Practice Fax Number | 8124017554 |
| Mailing Telephone | 6153416657 |
| Mailing Fax Number | 8666519495 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2015-09-23 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING 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 |
|---|---|---|---|
| IN | 200806750A | 05 | |
| KY | 7100000310 | 05 |
| Other Name | Type Code |
|---|---|
| East Evansville Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144423138 | Renal Life Link Inc | Clinic/Center | 3401 S 19th St, Tacoma, WA 98405-1909 | 2007-06-07 |
| 1295821304 | Renal Life Link Inc | Clinic/Center | 6246 W 95th St, Oak Lawn, IL 60453-2702 | 2006-10-05 |
| 1215023338 | Renal Life Link Inc | Clinic/Center | 8109 South Western Ave, Chicago, IL 60620-5939 | 2006-10-05 |
| 1104921923 | Renal Life Link Inc | Clinic/Center | 7100 Airline Dr, Metairie, LA 70003-5950 | 2006-09-14 |
| 1619079647 | Renal Life Link Inc | Clinic/Center | 2880 W Airline Hwy, La Place, LA 70068-2922 | 2006-09-01 |
| 1932118403 | Renal Life Link Inc | Clinic/Center | 324 S 4th St, Marion, IL 62959-1241 | 2006-08-05 |
| 1609885185 | Renal Life Link Inc | Clinic/Center | 1151 Route 14 W, Benton, IL 62812-1500 | 2006-08-05 |
| 1467461947 | Renal Life Link Inc | Clinic/Center | 1231 State Route 161, Centralia, IL 62801-6739 | 2006-08-05 |
| 1326072638 | Renal Life Link Inc | Clinic/Center | 4102 N. Water Tower Place, Mount Vernon, IL 62864 | 2006-07-10 |
| 1073540506 | Renal Life Link Inc | Clinic/Center | 4019 Johns Rd, Dallas, GA 30132-3420 | 2006-06-28 |
| Street Address |
1312 PROFESSIONAL BLVD |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47714-8007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679573919 | Stewart P Smith | Internal Medicine | 1312 Professional Blvd, Evansville, IN 47714-8007 | 2005-07-28 |
| 1326584103 | Renal Treatment Centers Mid Atlantic Inc. | Clinic/Center | 1312 Professional Blvd, Evansville, IN 47714-8007 | 2017-01-17 |
| 1477827897 | Kimberly Jo Floyd | Nurse Practitioner | 1312 Professional Blvd, Suite 200, Evansville, IN 47714-8007 | 2012-03-02 |
| 1396988648 | Martha L Weinzapfel-dick | Nurse Practitioner | 1312 Professional Blvd, Suite 200, Evansville, IN 47714-8007 | 2009-04-16 |
| 1366437279 | Dilip Unnikrishnan | Internal Medicine | 1312 Professional Blvd, Suite200, Evansville, IN 47714-8007 | 2005-09-16 |
| 1598765513 | Richard G Dmello | Internal Medicine | 1312 Professional Blvd, Suite 200, Evansville, IN 47714-8007 | 2005-08-01 |
| 1770583114 | David L Cottom | Internal Medicine | 1312 Professional Blvd, Evansville, IN 47714-8007 | 2005-07-28 |
| 1275533622 | Mariellen Dentino | Internal Medicine | 1312 Professional Blvd, Evansville, IN 47714-8007 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
| 1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
| 1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
| 1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
| 1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
| 1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
| 1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
| 1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
| 1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
| 1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
| Find all providers in zip 47714 | ||||
| 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 |
|---|---|---|---|---|
| 1720536295 | Lofield Dialysis LLC | Clinic/Center | 5301 Pearl Dr, Ste 300, Evansville, IN 47712-8111 | 2016-09-14 |
| 1124045869 | Everest Healthcare Indiana, Inc. | Clinic/Center | 230 Bellemeade Ave, Evansville, IN 47713-1771 | 2006-07-17 |
| 1861457798 | Renal Life Link Inc | Clinic/Center | 1151 W Buena Vista Rd, Evansville, IN 47710-3334 | 2006-04-20 |
| 1558876789 | Lofield Dialysis LLC | Clinic/Center | 800 N Main St, Evansville, IN 47711-5052 | 2017-12-11 |
| 1326584103 | Renal Treatment Centers Mid Atlantic Inc. | Clinic/Center | 1312 Professional Blvd, Evansville, IN 47714-8007 | 2017-01-17 |
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|---|---|---|---|---|
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| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1114583697 | Dialysis Care Center Merrillville LLC | Clinic/Center | 349 W 80th Pl, Merrillville, IN 46410-5433 | 2019-05-10 |
| 1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
| 1326601808 | The Dialysis Center of Hammond-whiting LLC | Clinic/Center | 1005 5th Avenue, Hammond, IN 46320-1004 | 2019-04-19 |
| 1770049017 | Dialyze Direct In LLC | Clinic/Center | 13295 Illinois St Ste 210, Carmel, IN 46032-3021 | 2019-02-12 |
| 1174006662 | Isd Renal Inc | Clinic/Center | 2636 W Michigan St, Indianapolis, IN 46222-3727 | 2018-09-11 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1831685882 | Total Renal Care Inc | Clinic/Center | 2 Executive Dr Ste B, Lafayette, IN 47905-4878 | 2018-07-02 |
| 1609378165 | The Dialysis Center of Gary LLC | Clinic/Center | 1705 West 25th Avenue, Suite 101, Gary, IN 46404-3544 | 2018-03-01 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47714 |
Please comment or provide details below to improve the information on RENAL LIFE LINK INC.
| 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.