CVS-SHC KIDNEY CARE HOME DIALYSIS OF AUSTIN LLC (NPI# 1720609431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720609431 |
| Entity Type | Organization |
| Organization Name | CVS-SHC KIDNEY CARE HOME DIALYSIS OF AUSTIN LLC |
| Practice Address |
1701 W Ben White Blvd Ste 180 Austin TX 78704-7680 |
| Mailing Address |
300 Santana Row Ste 300 San Jose CA 95128-2424 |
| Practice Telephone | 5123830300 |
| Practice Fax Number | 5127071053 |
| Mailing Telephone | 6504043735 |
| Mailing Fax Number | 6506256007 |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-05-04 |
| Authorized Official Name | KARI HOLLOWAY (VP) |
| Authorized Official Telephone | 4042905964 |
| 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 |
|---|---|---|---|
| TX | CMS CLIA | 45D0951854 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Kidney Care Dialysis Services Satellite Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033520 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 10000 Metric Blvd Ste 100, Austin, TX 78758-5210 | 2020-05-06 |
| 1477174951 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 12176 N Mo Pac Expy Ste A, Austin, TX 78758-2908 | 2020-05-06 |
| 1770104481 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 10001 S Ih 35 Ste 100, Austin, TX 78747-1701 | 2020-05-04 |
| 1194346809 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 1801 E 51st St Ste 100, Austin, TX 78723-3444 | 2020-05-04 |
| 1467073171 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 16010 Park Valley Dr Ste 100, Round Rock, TX 78681-3575 | 2020-05-04 |
| 1023639739 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 9811 S Interstate Highway 35 Ste 100, Austin, TX 78744-7901 | 2020-05-04 |
| 1811518525 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 134 Elmhurst Drive, Kyle, TX 78640-6060 | 2020-05-04 |
| Street Address |
1701 W BEN WHITE BLVD STE 180 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-7680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| 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 |
|---|---|---|---|---|
| 1063033520 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 10000 Metric Blvd Ste 100, Austin, TX 78758-5210 | 2020-05-06 |
| 1477174951 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 12176 N Mo Pac Expy Ste A, Austin, TX 78758-2908 | 2020-05-06 |
| 1770104481 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 10001 S Ih 35 Ste 100, Austin, TX 78747-1701 | 2020-05-04 |
| 1194346809 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 1801 E 51st St Ste 100, Austin, TX 78723-3444 | 2020-05-04 |
| 1023639739 | Cvs-shc Kidney Care Home Dialysis of Austin LLC | Clinic/Center | 9811 S Interstate Highway 35 Ste 100, Austin, TX 78744-7901 | 2020-05-04 |
| 1538791298 | Renal Treatment Centers - Southeast, Lp | Clinic/Center | 7912 Cameron Rd, Austin, TX 78754-3826 | 2020-02-10 |
| 1992346316 | Cdi Health, LLC | Clinic/Center | 1717 W 6th St Ste 350, Austin, TX 78703-4870 | 2019-10-07 |
| 1376100818 | Nicona Dialysis LLC | Clinic/Center | 9010 Brodie Lane, Bldg A, Austin, TX 78748-5184 | 2019-05-21 |
| 1013357110 | Satellite Wellbound of South Austin, LLC | Clinic/Center | 9811 S Ih 35, Bldg 4 Suite 200, Austin, TX 78744 | 2013-07-03 |
| 1518234525 | Renal Treatment Centers Southeast Lp | Clinic/Center | 3601 Manor Rd, Austin, TX 78723-5816 | 2011-11-18 |
| Find all providers in AUSTIN | ||||
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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.