RELIANT RENAL CARE LAPEER HOME CHOICE, LLC (NPI# 1548691496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548691496 |
| Entity Type | Organization |
| Organization Name | RELIANT RENAL CARE LAPEER HOME CHOICE, LLC |
| Other Organization Name | RRC LAPEER HOME CHOICE |
| Practice Address |
582 S Main St Lapeer MI 48446-2467 |
| Mailing Address |
1400 N Providence Rd Bldg II Suite 1040 Media PA 19063-2043 |
| Practice Telephone | 6107442040 |
| Mailing Telephone | 6108924700 |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2015-06-30 |
| Authorized Official Name | BARBARA BEDNAR (CEO) |
| Authorized Official Telephone | 6108924700 |
| 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 |
|---|---|---|---|
| MI | 1548691496 | 05 | |
| MI | BCBS SECONDARY | K9438 | 01 |
| MI | BCBS PRIMARY | K8938 | 01 |
| Other Name | Type Code |
|---|---|
| RRC Lapeer Home Choice | Doing Business As Name - Organization |
| Street Address |
582 S MAIN ST |
| City | LAPEER |
| State | MI |
| Zip Code | 48446-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043649577 | Marianne Kilroy | Clinic/Center | 582 S Main St, Lapeer, MI 48446-2467 | 2013-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136986 | Michelle Jean Windom | Social Worker | 608 Fox St., Lapeer, MI 48446 | 2018-03-08 |
| 1831448927 | Christina Thick | Registered Nurse | 1570 Suncrest Drive, Lapeer, MI 48446 | 2012-09-05 |
| 1740556109 | Nina S Lopatin | Audiologist | 951 S. Main Street, Ste. 2, Lapeer, MI 48446 | 2012-03-29 |
| 1316249295 | Adam Richard Ahlgren | Occupational Therapist | 2525 Demille Blvd, Lapeer, MI 48446 | 2010-11-26 |
| 1780903898 | Melissa Ann Price | Occupational Therapy Assistant | 1582 Heather Drive, Lapeer, MI 48446 | 2010-05-28 |
| 1801123732 | Colleen Marie Soto | Counselor | 608 Fox Street, Lapeer, MT 48446 | 2009-11-13 |
| 1396071684 | Michigan Spinal Rehabilitation Clinics Pllc | Psychiatry & Neurology | 2401 W. Genesee Street, Suite A, Lapeer, MI 48446 | 2009-10-22 |
| 1659541902 | Hesham E Gayar, Md, PC | Specialist | 1295 Barry Drive, Suite A, Lapeer, MI 48446 | 2008-03-03 |
| 1790977494 | Stanley S. Roland, D.o., P.C. | Dermatology | 610 North Main Street, Lapeer, MI 48446 | 2007-08-16 |
| 1316139603 | Kimberly Ann Proffer | Pharmacist | 15555 Demill Rd, Lapeer, MI 48446 | 2007-08-10 |
| Find all providers in zip 48446 | ||||
| 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 |
|---|---|---|---|---|
| 1043649577 | Marianne Kilroy | Clinic/Center | 582 S Main St, Lapeer, MI 48446-2467 | 2013-11-05 |
| 1780294702 | Premier Dialysis Service LLC | Clinic/Center | 1245 N Main St, Lapeer, MI 48446-1346 | 2020-08-04 |
| 1700400462 | Premier Dialysis Service Lapeer LLC | Clinic/Center | 1245 N Main St, Lapeer, MI 48446-1346 | 2020-05-29 |
| 1871656181 | Reliant Renal Care Lapeer LLC | Clinic/Center | 1375 N Main St, Lapeer, MI 48446-1350 | 2006-12-18 |
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| 1487123600 | Concerto Michigan LLC | Clinic/Center | 14700 Farmington Rd Ste 108, Livonia, MI 48154-5462 | 2018-11-16 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1851886592 | Fms Rochester Hills, LLC | Clinic/Center | 26400 W 12 Mile Rd Ste 112, Southfield, MI 48034-1785 | 2018-06-26 |
| 1801399753 | Kasaskia Dialysis LLC | Clinic/Center | 18001 E 10 Mile Rd Ste B, Roseville, MI 48066-3803 | 2018-03-16 |
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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.