DVA RENAL HEALTHCARE, INC. (NPI# 1801864145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801864145 |
| Entity Type | Organization |
| Organization Name | DVA RENAL HEALTHCARE, INC. |
| Other Organization Name | ST. PETERSBURG SOUTH DIALYSIS |
| Practice Address |
2850 34th St S Saint Petersburg FL 33711-3817 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7278644050 |
| Practice Fax Number | 7278640013 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER, TREASURER) |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 890113900 | 05 |
| Other Name | Type Code |
|---|---|
| St. Petersburg South Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346752607 | Dva Renal Healthcare, Inc. | Clinic/Center | 191 Se Railroad St, Sharpsburg, NC 27878 | 2017-10-26 |
| 1053375030 | Dva Renal Healthcare, Inc. | Clinic/Center | 15225 Carrollton Blvd, Carrollton, VA 23314-2303 | 2006-04-14 |
| 1083678320 | Dva Renal Healthcare, Inc. | Clinic/Center | 5150 Duke St, Alexandria, VA 22304-2906 | 2006-04-13 |
| 1649233222 | Dva Renal Healthcare, Inc. | Clinic/Center | 835 Smithville Hwy, #15, Mc Minnville, TN 37110-1669 | 2006-04-06 |
| 1235199076 | Dva Renal Healthcare, Inc. | Clinic/Center | 2307 S Mount Prospect Rd, Des Plaines, IL 60018-1811 | 2006-03-24 |
| 1417926486 | Dva Renal Healthcare, Inc. | Clinic/Center | 1741 Commerce Dr Nw Ste 405, Atlanta, GA 30318-3107 | 2006-03-14 |
| 1891763132 | Dva Renal Healthcare, Inc. | Clinic/Center | 2410 S Adams St, Tallahassee, FL 32301-6325 | 2006-03-11 |
| 1326016130 | Dva Renal Healthcare, Inc. | Clinic/Center | 661 9th St N, Naples, FL 34102-8132 | 2006-03-08 |
| 1245208057 | Dva Renal Healthcare, Inc. | Clinic/Center | 860 Ne 125th St, North Miami, FL 33161-5743 | 2006-03-08 |
| 1104893221 | Dva Renal Healthcare, Inc. | Clinic/Center | 2235 S Babcock St, Melbourne, FL 32901 | 2006-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | DVA RENAL HEALTHCARE, INC. | Jld/secgovfin, 2000 16th Street, Denver, CO 80202 |
| Washington State Corporations | DVA RENAL HEALTHCARE, INC. | Jld/secgovfin 2000 16th Street, Denver, CO 80202 |
| Vermont Business Registrations | DVA RENAL HEALTHCARE, INC. | Jld/secgovfin, 2000 16th Street, Denver, CO 80202 |
| Iowa Business Entities | DVA RENAL HEALTHCARE, INC. | Jldsecgovfin 2000 16th Street, Denver, CO 80202 |
| Oklahoma Business Registrations | DVA RENAL HEALTHCARE, INC. | 601 Hawaii St, El Segundo, CA 90245 |
| Massachusetts Corporations | DVA RENAL HEALTHCARE, INC. | 2000 16th Street, Denver, CO 80202 |
| Connecticut Business Registrations | DVA RENAL HEALTHCARE, INC. | 2000 16th Street, Denver, CO 80202 |
| Street Address |
2850 34TH ST S |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33711-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639665110 | Armando Alvarez Gonzalez | Nurse Practitioner | 3404 26th Ave S, St Petersburg, FL 33711 | 2018-07-08 |
| 1508398843 | S&r Cares LLC | Preferred Provider Organization | 4201 4th Avenue South Street, St Petersburg, FL 33711 | 2017-03-28 |
| 1245691062 | Brian Paulson | Counselor | 4024 Central Ave # 1239, Saint Petersburg, FL 33711 | 2016-03-08 |
| 1871966069 | Kelly Jean Plant | Home Health Aide | 3611 3rd Ave South, St Petersburg, FL 33711 | 2015-11-10 |
| 1750784815 | Honor Investments LLC | Community/Behavioral Health | 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 | 2014-10-03 |
| 1063771947 | Vincent Ford | Physical Therapy Assistant | 3479 22nd Avenue, St.petersburg, FL 33711 | 2012-05-11 |
| 1568758571 | Ashley Lauren Taliaferro | Physical Therapist | 5042 42nd St S, Saint Petersburg, FL 33711 | 2011-06-28 |
| 1801180187 | Karen Lynn Wilcox | Massage Therapist | 2026 44th Street S, Saint Petersburg, FL 33711 | 2011-06-04 |
| 1881998722 | Martha L Allen | Assisted Living Facility | 1860 46 Street South, St. Petersburg, FL 33711 | 2011-01-07 |
| 1760519052 | Scg Palazzo Operator, LLC | Assisted Living Facility | 3600 34th St South, St Augustine, FL 33711 | 2007-02-27 |
| Find all providers in zip 33711 | ||||
| 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 |
|---|---|---|---|---|
| 1669604070 | Total Renal Care Inc | Clinic/Center | 3451 66th St N, Ste A, Saint Petersburg, FL 33710-1568 | 2009-08-18 |
| 1033211388 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 3251 3rd Ave N Ste 125, Saint Petersburg, FL 33713-8504 | 2006-09-05 |
| 1598878274 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 650 34th St S, Saint Petersburg, FL 33711-1722 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1538773411 | 5072020, LLC | Clinic/Center | 2675 Winkler Ave Ste 130, Fort Myers, FL 33901-9362 | 2020-09-08 |
| 1750992814 | Swain Dialysis Renal Center | Clinic/Center | 1923 Nw 43rd St, Miami, FL 33142-4777 | 2020-08-12 |
| 1396355525 | Kidney Partners Coral Gables LLC | Clinic/Center | 835 Sw 37th Ave, Miami, FL 33135-4289 | 2020-08-03 |
| 1427668870 | Dialysis Spa, LLC | Clinic/Center | 2040 Ne 163rd St Ste 206, North Miami Beach, FL 33162-4953 | 2020-07-31 |
| 1285250522 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 775 Gateway Dr Ste 1010, Altamonte Springs, FL 32714-1524 | 2020-06-23 |
| 1992321244 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 | 2020-06-23 |
| 1023630886 | Fresenius Medical Care Apollo Beach, LLC | Clinic/Center | 3002 E College Ave, Ruskin, FL 33570-5220 | 2020-05-14 |
| 1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
| 1487274734 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33711 |
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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.