STINES DIALYSIS LLC (NPI# 1609110758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609110758 |
Entity Type | Organization |
Organization Name | STINES DIALYSIS LLC |
Other Organization Name | TIDEWATER HOME DIALYSIS |
Practice Address |
230 Clearfield Ave Ste 106 Virginia Beach VA 23462-1832 |
Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
Practice Telephone | 7575189439 |
Practice Fax Number | 7575199519 |
Mailing Telephone | 6153204214 |
Mailing Fax Number | 8669443352 |
Enumeration Date | 2012-11-15 |
Last Update Date | 2020-08-20 |
Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334501 |
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 |
VA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 1609110758 | 05 |
Other Name | Type Code |
---|---|
Tidewater Home Dialysis | Doing Business As Name - Organization |
Street Address |
230 CLEARFIELD AVE STE 106 |
City | VIRGINIA BEACH |
State | VA |
Zip Code | 23462-1832 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184666877 | Vann-virginia Center for Orthopaedics PC | Physical Therapist | 230 Clearfield Ave, Suite 124, Virginia Beach, VA 23462-1832 | 2006-06-10 |
1700276821 | Riley Nean Fontaine | Emergency Medicine | 230 Clearfield Ave, Virginia Beach, VA 23462 | 2015-01-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
Find all providers in zip 23462 |
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 |
---|---|---|---|---|
1679012991 | Cadiz Dialysis LLC | Clinic/Center | 1920 Centerville Tpke Ste 122, Virginia Beach, VA 23464-6859 | 2017-02-20 |
1831544972 | Williston Dialysis, LLC | Clinic/Center | 1375 Oceana Blvd, Suite 114, Virginia Beach, VA 23454-5579 | 2016-04-26 |
1790111789 | Landsford Dialysis LLC | Clinic/Center | 3973 Holland Rd, Virginia Beach, VA 23452-2804 | 2013-09-23 |
1467416396 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 740 Independence Cir, Virginia Beach, VA 23455-6438 | 2006-04-17 |
1679948061 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 2476 Nimmo Pkwy, Ste 109-112, Virginia Beach, VA 23465-9108 | 2015-12-10 |
1780054478 | Total Renal Care, Inc | Clinic/Center | 3973 Holland Rd, Virginia Beach, VA 23452-2804 | 2015-10-07 |
1831502772 | Fresenius Medical Care Virginia Beach Home, LLC | Clinic/Center | 933 First Colonial Rd, Suite 105, Virginia Beach, VA 23454-3172 | 2014-06-09 |
1992121099 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 933 First Colonial Rd, Suite 112, Virginia Beach, VA 23454-3172 | 2014-03-13 |
1710066428 | Davita Tidewater - Virginia Beach, LLC | Clinic/Center | 1800 Camelot Dr, Ste 100, Virginia Beach, VA 23454-2440 | 2006-11-03 |
1861596637 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 525 S Independence Blvd, Suite 150, Virginia Beach, VA 23452-1188 | 2006-09-12 |
Find all providers in VIRGINIA BEACH |
City | VIRGINIA BEACH |
Zip Code | 23462 |
Please comment or provide details below to improve the information on STINES DIALYSIS 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.