GOLDENDALE DIALYSIS LLC (NPI# 1710226915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710226915 |
| Entity Type | Organization |
| Organization Name | GOLDENDALE DIALYSIS LLC |
| Other Organization Name | COLUMBUS HOME TRAINING |
| Practice Address |
1200 Brookstone Centre Pkwy Ste 111 Columbus GA 31904-2934 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7063222935 |
| Practice Fax Number | 7063174862 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | MR. JOHN WINSTEL (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 |
GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003134694A | 05 |
| Other Name | Type Code |
|---|---|
| Columbus Home Training | Doing Business As Name - Organization |
| Street Address |
1200 BROOKSTONE CENTRE PKWY STE 111 |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| 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 |
|---|---|---|---|---|
| 1326569922 | Fresenius Kidney Care Columbus Home, LLC | Clinic/Center | 711 Talbotton Rd, Columbus, GA 31904-8908 | 2017-07-05 |
| 1265963417 | Dialysis Clinic Inc | Clinic/Center | 5990 Warm Springs Rd, Columbus, GA 31909-4310 | 2017-03-21 |
| 1760926257 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 758 Communications Parkway, Columbus, OH 43214-1948 | 2016-12-19 |
| 1366809857 | Kidney Center of Whitehall LLC | Clinic/Center | 6038 E Main St, Columbus, OH 43213-3357 | 2016-01-28 |
| 1912371212 | Columbus Med Partners, LLC | Clinic/Center | 4500 W. Broad Street, Columbus, OH 43228-1623 | 2015-11-24 |
| 1861894768 | Rcg Mississippi, Inc. | Clinic/Center | 3499 Bluecutt Rd, Columbus, MS 39705-1346 | 2014-09-23 |
| 1437586153 | Rcg Mississippi, Inc. | Clinic/Center | 139 N Brookmoore Dr, Columbus, MS 39705-2024 | 2013-09-27 |
| 1689008740 | Heavener Dialysis LLC | Clinic/Center | 2401 Shelby St, Columbus, GA 31903-0000 | 2013-08-26 |
| 1073787248 | Columbus Rna Davita LLC | Clinic/Center | 226 Graceland Blvd, Ste 3-09a, Columbus, OH 43214-1532 | 2008-04-17 |
| 1518146679 | Total Renal Care Inc | Clinic/Center | 1391 Georgesville Rd, Columbus, OH 43228-3611 | 2007-10-25 |
| Find all providers in COLUMBUS | ||||
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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.