RENAL TREATMENT CENTERS MID ATLANTIC INC (NPI# 1629044896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629044896 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS MID ATLANTIC INC |
| Other Organization Name | GRANT PARK DIALYSIS |
| Practice Address |
5000 Nannie Helen Burroughs Ave Ne Washington DC 20019-5506 |
| Mailing Address |
5200 Virginia Way L & C Department Brentwood TN 37027-7569 |
| Practice Telephone | 2023997700 |
| Practice Fax Number | 2023983708 |
| Mailing Telephone | 6153204214 |
| Mailing Fax Number | 8669443352 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-06-17 |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 401139200 | 05 | |
| DC | 034379100 | 05 | |
| NJ | 8080909 | 05 |
| Other Name | Type Code |
|---|---|
| Grant Park Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992323976 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 300 Cedar Ridge Dr Ste 302, Pittsburgh, PA 15205-1159 | 2020-07-07 |
| 1750906574 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 9333 State Route 61, Coal Township, PA 17866-4170 | 2020-06-09 |
| 1912567330 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 501 Walnut Way, Palmetto, GA 30268-1800 | 2019-06-18 |
| 1982183224 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 251 Mount Nebo Pointe Rd, Pittsburgh, PA 15237-1313 | 2018-08-08 |
| 1306338306 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 626 W Main St, Murfreesboro, NC 27855-1510 | 2018-06-05 |
| 1184143356 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 2210 W Webb Ave, Burlington, NC 27217-1068 | 2017-09-19 |
| 1306362660 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 4110 Austell Powder Springs Rd Ste 100, Powder Springs, GA 30127-2954 | 2017-08-18 |
| 1437684503 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 96 June Dr, Roaring Spring, PA 16673-2316 | 2017-04-26 |
| 1700055399 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 2201 Colonial Ave, Norfolk, VA 23517-1928 | 2008-02-27 |
| 1851594329 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 3651 Bakers Ferry Rd Sw, Atlanta, GA 30331-3712 | 2007-06-11 |
| Street Address |
5000 NANNIE HELEN BURROUGHS AVE NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20019-5506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174142624 | Ngozi Vivienne Osuchukwu | Registered Nurse | 5000 Nannie Helen Burroughs Ave Ne, Washington, DC 20019-5506 | 2020-04-14 |
| 1205350881 | Global Medical Enterprise, Inc. | Clinic/Center | 5000 Nannie Helen Burroughs Ave Ne, Washington, DC 20019-5506 | 2017-07-26 |
| 1609168186 | Nicole Leigh Johnson | Occupational Therapist | 5000 Nannie Helen Burroughs Ave Ne, Washington, DC 20019-5506 | 2011-05-03 |
| 1467768838 | Eastern Podiatry Pllc | Podiatrist | 5000 Nannie Helen Burroughs Ave Ne, Washington, DC 20019-5506 | 2010-08-24 |
| 1952632069 | Grant Park Snf, LLC | Durable Medical Equipment & Medical Supplies | 5000 Nannie Helen Burroughs Ave Ne, Washington, DC 20019-5506 | 2010-01-29 |
| 1033143235 | Grant Park Nursing Home Limited Partnership | Skilled Nursing Facility | 5000 Nannie Helen Burroughs Ave Ne, Washington, DC 20019-5506 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079440 | Gracefully Fulfilled Counseling and Coaching Services | Counselor | 219 56th Place Ne, Washington, DC 20019 | 2020-09-25 |
| 1033735170 | Regenia Elizabeth Sayles | Home Health Aide | 3924 Minnesota Ave Ne Washington, Dc, DC 20019 | 2020-06-24 |
| 1417578733 | Alycia Paige Heiner | Student in an Organized Health Care Education/Training Program | Parkside Health Center, 765 Kenilworth Terrace Ne, Washington, DC 20019 | 2020-04-27 |
| 1598398786 | Issa Munu | Technician | 45th Street Ne, 604, Washington, DC 20019 | 2020-02-17 |
| 1538708391 | Chanda Constance Mcmahan | Psychologist | 3320 Ames St. N.e., Washington, DC 20019 | 2019-12-27 |
| 1215582978 | Howard University | Clinic/Center | 4414-4430 Benning Road, Ne, Washington, DC 20019 | 2019-08-08 |
| 1255985776 | Kemba Kelton | Technician | 3204 1/2 East Capitol Street Nw, Washington, DC 20019 | 2019-08-01 |
| 1659930196 | Brittany Deshanta Fleming | Counselor | 1561 45th St Ne, Washington, DC 20019 | 2019-06-09 |
| 1346701299 | Chelsie Esek | Speech-Language Pathologist | 1234 Singleton Blvd., Washington Dc, DC 20019 | 2019-03-25 |
| 1174081434 | Kathleen Estelle Williams | Nurse's Aide | 12045th Street North East, 613, Washington, DC 20019 | 2019-03-06 |
| Find all providers in zip 20019 | ||||
| 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 |
| 1528290590 | International Dialysis Center, LLC | Clinic/Center | 1730 Hamlin St Ne, Washington, DC 20018-1838 | 2009-08-10 |
| 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 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20019 |
Please comment or provide details below to improve the information on RENAL TREATMENT CENTERS MID ATLANTIC 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.