LIFELINERENALCARE (NPI# 1750808374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750808374 |
| Entity Type | Organization |
| Organization Name | LIFELINERENALCARE |
| Practice Address |
2517 Scotti St Lewisville TX 75056-5882 |
| Practice Telephone | (630) 687-5966 |
| Mailing Telephone | 6306875966 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MR. SIJI THOMAS (PARTNER) |
| Authorized Official Telephone | 6306875955 |
| 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 | DL | 37619064 | 01 |
| Street Address |
2517 SCOTTI ST |
| City | LEWISVILLE |
| State | TX |
| Zip Code | 75056-5882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253650 | Geneiq LLC | Clinical Medical Laboratory | 2716 Standridge Drive, Floor 2 Ste 204, The Colony, TX 75056 | 2020-04-06 |
| 1952947863 | Luisa Collins | Registered Nurse | 6805 Main St., Ste 430 #660, The Colony, TX 75056 | 2019-11-26 |
| 1013473248 | Nongnuch Kuligowski | Family Medicine | 5040 Tx-121 Suite 200, Lewisville, TX 75056 | 2019-02-12 |
| 1639655806 | The Regenerative Institute of Texas | Pain Medicine | 3716 Standridge Dr Ste 200, The Colony, TX 75056 | 2018-07-11 |
| 1619484656 | Cornelius Hathorn | Non-emergency Medical Transport (VAN) | 16208 Windhaven Pkwy, Apt 1307, Lewisville, TX 75056 | 2017-12-29 |
| 1194236646 | 5 Star Dental | Dentist | 3751 Main Street, Suite 1000, The Colony, TX 75056 | 2017-10-23 |
| 1396254405 | Rosemore Eye Care Pa | Optometrist | 4901 Windhaven Pkwy, Suite 100, The Colony, TX 75056 | 2017-09-21 |
| 1356877724 | Jamie Mutschler | Speech-Language Pathologist | 220 Eastland Drive, Lewisville, TX 75056 | 2017-05-04 |
| 1831639160 | Jacqueline Nguyen Bang | Counselor | 2287 Sir Amant Drive, Lewisville, TX 75056 | 2017-03-06 |
| 1417495052 | Mary Alice Neville | Physician Assistant | 3600 Main Street, Suite 100, The Colony, TX 75056 | 2017-02-02 |
| Find all providers in zip 75056 | ||||
| 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 |
|---|---|---|---|---|
| 1477165462 | Fresenius Medical Care South Lewisville, LLC | Clinic/Center | 101 E Southwest Pkwy Ste 110, Lewisville, TX 75067-8753 | 2020-08-20 |
| 1760810378 | Lewisville Ld, LLC | Clinic/Center | 101 E Sw Pkwy, Ste 110, Lewisville, TX 75067-8791 | 2013-10-16 |
| 1720111958 | North Texas Dialysis Inc. | Clinic/Center | 1600 Waters Ridge Dr, Lewisville, TX 75057-6014 | 2007-03-14 |
| 1598895906 | Renal Center of Lewisville, LLC | Clinic/Center | 1600 Waters Ridge Dr, Ste B, Lewisville, TX 75057-6039 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801931 | Usrc Mckinney, LLC | Clinic/Center | 1434 N Central Expy Ste 116, Mckinney, TX 75070-3108 | 2020-11-05 |
| 1437756772 | Usrc Bluebonnet, LLC | Clinic/Center | 1902 Windsor Pl, Ste 100, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1609473941 | Usrc Bluebonnet Home, LLC | Clinic/Center | 1902 Windsor Pl Ste 202, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1982210050 | Usrc Stephenville LLC | Clinic/Center | 942 Bluebonnet Dr, Stephenville, TX 76401-1764 | 2020-09-23 |
| 1801402979 | Usrc Garland LLC | Clinic/Center | 219 W Kingsley Rd Ste 316, Garland, TX 75041-3434 | 2020-09-23 |
| 1003422171 | Usrc Dialysis At Home West LLC | Clinic/Center | 12011 State Highway 151 Ste 222, San Antonio, TX 78251-1230 | 2020-09-23 |
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1891312559 | Usrc Houston Newco Home LLC | Clinic/Center | 2000 Crawford St Ste 777, Houston, TX 77002-9006 | 2020-06-29 |
| 1427671502 | Usrc Plano Dexter, LLC | Clinic/Center | 4708 Dexter Dr, Plano, TX 75093-5288 | 2020-05-22 |
| 1346863545 | Usrc Datapoint, LLC | Clinic/Center | 8115 Datapoint Dr, San Antonio, TX 78229-3227 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | LEWISVILLE |
| Zip Code | 75056 |
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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.