HOLLYWOOD DIALYSIS LLC (NPI# 1558792960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558792960 |
| Entity Type | Organization |
| Organization Name | HOLLYWOOD DIALYSIS LLC |
| Practice Address |
4000 Hollywood Blvd Suite 175s Hollywood FL 33021-6775 |
| Practice Telephone | 9549623100 |
| Practice Fax Number | 9549623200 |
| Mailing Telephone | 9549623100 |
| Mailing Fax Number | 9549623200 |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | MRS. SHARI COUSINS (SR. VP OF CLINICAL & REGULATORY) |
| Authorized Official Telephone | 9789223080 |
| 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 | 012350600 | 05 |
| Street Address |
4000 HOLLYWOOD BLVD SUITE 175S |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-6775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760400030 | Robert B Donoway | Surgery | 4000 Hollywood Blvd, Presidential Circle, Suite 160 North, Hollywood, FL 33021-6751 | 2006-07-17 |
| 1285244335 | Selena Concepcion | Behavior Technician | 4000 Hollywood Blvd, Hollywood, FL 33021-6751 | 2020-08-04 |
| 1831550201 | Pure Life Renal of Stoughton LLC | Clinic/Center | 4000 Hollywood Blvd, Suite 300-n, Hollywood, FL 33021-1242 | 2016-03-14 |
| 1730548793 | Good Friend Counseling Services | Community/Behavioral Health | 4000 Hollywood Blvd, Hollywood, FL 33021-6751 | 2016-02-18 |
| 1083089114 | Helping Hand Miracles Foundation, LLC | Nursing Facility/Intermediate Care Facility | 4000 Hollywood Blvd, Suite 555-south, Hollywood, FL 33021-6751 | 2015-12-01 |
| 1891166971 | 21st Century Oncology LLC | Surgery | 4000 Hollywood Blvd, Presidential Circle - Suite 160 North, Hollywood, FL 33021-6751 | 2015-10-14 |
| 1366848954 | Sfm Surgery Xi | Surgery | 4000 Hollywood Blvd, Suite 160 North, Hollywood, FL 33021-6751 | 2014-11-10 |
| 1588076251 | Vikke Brooks | Marriage & Family Therapist | 4000 Hollywood Blvd, Suite 555-s, Hollywood, FL 33021-6751 | 2014-05-28 |
| 1679985790 | Multi-systemic Solutions LLC | Community/Behavioral Health | 4000 Hollywood Blvd, Suite 555-s, Hollywood, FL 33021-6751 | 2014-05-22 |
| 1801228770 | Charlotte Evans | Social Worker | 4000 Hollywood Blvd, Suite 555, Hollywood, FL 33021-6751 | 2013-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| 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 |
|---|---|---|---|---|
| 1720056062 | Total Renal Care Inc | Clinic/Center | 4401 Hollywood Blvd, Hollywood, FL 33021 | 2006-03-11 |
| 1467432138 | Hollywood Artificial Kidney Center Ltd | Clinic/Center | 1 Oakwood Blvd, Suite 100, Hollywood, FL 33020-1956 | 2006-01-19 |
| 1699755355 | Hallandale Artificial Kidney Center, Inc. | Clinic/Center | 2655 Hollywood Blvd, Hollywood, FL 33020-4840 | 2006-01-19 |
| 1669900528 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2700 Hollywood Blvd, Hollywood, FL 33020-4808 | 2017-05-23 |
| 1831550201 | Pure Life Renal of Stoughton LLC | Clinic/Center | 4000 Hollywood Blvd, Suite 300-n, Hollywood, FL 33021-1242 | 2016-03-14 |
| 1942567839 | Total Renal Care Inc | Clinic/Center | 1 Oakwood Blvd, Ste 100, Hollywood, FL 33020-1937 | 2012-04-16 |
| 1104182492 | Total Renal Care Inc | Clinic/Center | 2655 Hollywood Blvd, Hollywood, FL 33020-4840 | 2012-04-11 |
| 1205892122 | Renal Life Link Inc | Clinic/Center | 11011 Sheridan St, Ste 308, Hollywood, FL 33026-1532 | 2006-04-21 |
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|---|---|---|---|---|
| 1801496104 | Kidney Care Center of Winter Haven LLC | Clinic/Center | 1107 3rd St Sw Ste 9, Winter Haven, FL 33880-3912 | 2020-10-27 |
| 1538773411 | 5072020, LLC | Clinic/Center | 2675 Winkler Ave Ste 130, Fort Myers, FL 33901-9362 | 2020-09-08 |
| 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 |
| 1427668870 | Dialysis Spa, LLC | Clinic/Center | 2040 Ne 163rd St Ste 206, North Miami Beach, FL 33162-4953 | 2020-07-31 |
| 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 |
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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.