RAI CARE CENTERS OF LEBANON I LLC (NPI# 1770810293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770810293 |
Entity Type | Organization |
Organization Name | RAI CARE CENTERS OF LEBANON I LLC |
Other Organization Name | RAI-MAIN ST-LEBANON |
Practice Address |
1701 West Main Street Suite 101 Lebanon TN 37087 |
Mailing Address |
1550 W. Mcewen Drive Suite 500 Franklin TN 37067-1731 |
Practice Telephone | 6156611100 |
Practice Fax Number | 6155073300 |
Mailing Telephone | 6156611100 |
Mailing Fax Number | 6155073300 |
Enumeration Date | 2009-11-04 |
Last Update Date | 2011-02-15 |
Authorized Official Name | MR. JON M SUNDOCK (VICE PRESIDENT) |
Authorized Official Telephone | 6156611100 |
Is Organization Subpart | Y |
Parent Organization Name | RAI II LLC |
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 |
Other Name | Type Code |
---|---|
RAI-Main St-Lebanon | Other Name - Individual/Organization |
Street Address |
1701 WEST MAIN STREET SUITE 101 |
City | LEBANON |
State | TN |
Zip Code | 37087 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
Find all providers in zip 37087 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
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1982985388 | Fresenius Medical Care Dialysis Services Oregon, LLC | Clinic/Center | 665 N 5th St, Lebanon, OR 97355-2875 | 2011-08-30 |
1477753325 | River Valley Dialysis LLC | Clinic/Center | 918b Columbus Ave, Lebanon, OH 45036-1402 | 2007-07-19 |
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1992714604 | Bio-medical Applications of New Hampshire, Inc. | Clinic/Center | 56 Etna Rd, Lebanon, NH 03766-1419 | 2006-08-05 |
1750382610 | Gsh Dialysis, Inc. | Clinic/Center | 440 Oak St, Lebanon, PA 17042-6243 | 2005-08-02 |
1255971362 | Renpro Indiana LLC | Clinic/Center | 1585 Perry Worth Rd, Lebanon, IN 46052-9635 | 2020-01-07 |
1093141814 | Total Renal Care Inc | Clinic/Center | 440 Oak St, Lebanon, PA 17042-6243 | 2013-09-25 |
Find all providers in LEBANON |
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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.