INNOVATIVE DIALYSIS CENTERS OF LA GRANGE, LLC (NPI# 1730522343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730522343 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE DIALYSIS CENTERS OF LA GRANGE, LLC |
| Other Organization Name | U.S. RENAL CARE LAGRANGE DIALYSIS |
| Practice Address |
1300 Lafayette Pkwy Suite D Lagrange GA 30241-2612 |
| Mailing Address |
Po Box 19119 Jonesboro AR 72403-6601 |
| Practice Telephone | 7068843765 |
| Practice Fax Number | 7068845304 |
| Mailing Telephone | 8709315400 |
| Mailing Fax Number | 8709315418 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2014-08-18 |
| Authorized Official Name | THOMAS L. WEINBERG (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2147362700 |
| Is Organization Subpart | Y |
| Parent Organization Name | U.S. RENAL CARE, INC. |
| 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 |
|---|---|---|---|
| GA | 003146669A | 05 |
| Other Name | Type Code |
|---|---|
| U.S. Renal Care LaGrange Dialysis | Doing Business As Name - Organization |
| Street Address |
1300 LAFAYETTE PKWY SUITE D |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30241-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376819102 | Affordable Dentures Lagrange, P.c | Dentist | 1300 Lafayette Pkwy, Lagrange, GA 30241-2610 | 2012-03-27 |
| 1295132512 | Affordable Dentures - Lagrange, P.C. | Dentist | 1300 Lafayette Pkwy, Suite E, Lagrange, GA 30241-2612 | 2014-12-02 |
| 1679813406 | Renal Associates of Lagrange LLC | Internal Medicine | 1300 Lafayette Pkwy, Building D, Lagrange, GA 30241-2612 | 2013-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073994182 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 102 Corporate Park Drive East, Lagrange, GA 30241 | 2015-06-15 |
| 1235303686 | Atlas Neck & Back Center | Chiropractor | 309 N. Morgan St., Suite A, Lagrange, GA 30241 | 2008-04-16 |
| 1578756565 | Richard Freeman Simmons | Dentist | 2219 B West Point Rd, Dr Richard F Simmons, Lagrange, GA 30241 | 2007-08-22 |
| 1013071851 | Troup County School District | Local Education Agency (LEA) | 100 North Davis Road, Lagrange, GA 30241 | 2006-12-19 |
| 1851748172 | Medventures Physical Therapy, LLC | Physical Therapist | 1075 Lafayette Parkway, Ste 220, Lagrange, GA 30241 | 2016-05-17 |
| 1154784205 | Med Ventures Mri, LLC | Radiology | 1075 Lafayette Parkway, Ste 120, Lagrange, GA 30241 | 2016-04-05 |
| 1437514965 | Holly Renee Abbott | Counselor | 104 Harwell Ave, Lagrange, GA 30241 | 2015-12-29 |
| 1386780104 | Andre D Feria Md | Internal Medicine | 142 Old Mill Road, Lagrange, GA 30241 | 2007-01-29 |
| 1356354500 | Mohd Khairul Anam | Internal Medicine | 142 Old Mill Road, Lagrange, GA 30241 | 2006-08-15 |
| 1417914052 | Troup County Health Department | Public Health or Welfare | 1220 Hogansville Rd, Department of Family and Childrens Services Health Cent, Lagrange, GA 30241 | 2006-04-27 |
| Find all providers in zip 30241 | ||||
| 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 |
|---|---|---|---|---|
| 1205390192 | Rco of Lagrange, LLC | Clinic/Center | 109 Parker Dr, Lagrange, GA 30240-6436 | 2019-01-25 |
| 1194958421 | West Georgia Medical Center, Inc. | Clinic/Center | 140 Glenn Bass Rd, Lagrange, GA 30240-5809 | 2009-09-03 |
| 1417134206 | Nra Lagrange Georgia LLC | Clinic/Center | 140 Old Mill Road, Lagrange, GA 30241-6704 | 2008-01-24 |
| 1669584488 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 2100 Button Ln, Ste 105, Lagrange, KY 40031-7791 | 2006-08-31 |
| 1770557340 | Lagrange Troup County Hospital Authority | Clinic/Center | 140 Glenn Bass Road, Lagrange, GA 30240-5809 | 2006-02-13 |
| 1760757736 | Total Renal Care Inc | Clinic/Center | 140 Glenn Bass Rd, Lagrange, GA 30240-5809 | 2012-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190207 | Usrc Powder Springs Home LLC | Clinic/Center | 3721 New Macland Rd Ste 100b, Powder Springs, GA 30127-2000 | 2020-10-08 |
| 1083229280 | Bio- Medical Applications of Georgia, Inc. | Clinic/Center | 145 W Hendry St, Hinesville, GA 31313-3201 | 2020-09-14 |
| 1336759463 | Plattaz Dialysis, LLC | Clinic/Center | 100 Promenade Pkwy Ste C, Fayetteville, GA 30214-7735 | 2020-08-04 |
| 1174140743 | Home Dialysis Services Norcross LLC | Clinic/Center | 3780 Holcomb Bridge Rd Ste E, Norcross, GA 30092-4877 | 2020-06-30 |
| 1265058275 | Dialysis Care Center Pleasant Hill LLC | Clinic/Center | 1425 Georgia Ave Ste 102, Macon, GA 31201-6546 | 2020-06-25 |
| 1598389132 | Concerto Georgia LLC | Clinic/Center | 655 Exchange Cir Ste 100, Bethlehem, GA 30620-1767 | 2020-05-29 |
| 1629607098 | Rutledge Dialysis, LLC | Clinic/Center | 1719 New Hope Rd, Lawrenceville, GA 30045-6570 | 2020-04-07 |
| 1215562293 | Dialysis Clinic Inc | Clinic/Center | 1219 S. Martin Luther King Blvd., Americuse, GA 31719 | 2020-03-10 |
| 1659915882 | Filmore Dialysis, LLC | Clinic/Center | 4555 Atlanta Hwy Ste M, Loganville, GA 30052-2646 | 2019-10-31 |
| 1013562818 | Menca Dialysis, LLC | Clinic/Center | 3030 Headland Dr Sw Ste C, Atlanta, GA 30311-5435 | 2019-08-08 |
| Find all providers with the same taxonomy | ||||
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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.