DVA HEALTHCARE RENAL CARE, INC (NPI# 1801865803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801865803 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE RENAL CARE, INC |
| Other Organization Name | EAST ROME DIALYSIS |
| Practice Address |
1401 Dean St Se Suite H Rome GA 30161-6494 |
| Mailing Address |
5200 Virginia Way Suite 400 L&c Brentwood TN 37027-7569 |
| Practice Telephone | 7062329890 |
| Practice Fax Number | 7062320144 |
| Mailing Telephone | 6153204218 |
| Mailing Fax Number | 6153204487 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THOMAS O USILTON JR. (GROUP VICE PRESIDENT) |
| Authorized Official Telephone | 7705417922 |
| 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 |
ESRD | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| East Rome Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598725731 | Dva Healthcare Renal Care, Inc | Clinic/Center | 6334 Cedar Ln Ste 101, Columbia, MD 21044-3898 | 2006-03-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | DVA Healthcare Renal Care, Inc. | Jld/Secgovfin, 2000 16th Street, Denver, CO 80202 |
| Oregon Corporations, Companies and Business Names | DVA HEALTHCARE RENAL CARE, INC. | Jld/Secgovfin, 2000 16th Street, Denver, CO 80202 |
| Iowa Business Entities | DVA HEALTHCARE RENAL CARE, INC. | Jldsecgovfin 2000 16th Street, Denver, CO 80202 |
| Massachusetts Corporations | DVA HEALTHCARE RENAL CARE, INC. | 2000 16th Street, Denver, CO 80202 |
| Oklahoma Business Registrations | DVA HEALTHCARE RENAL CARE, INC. | 601 Hawaii St, El Segundo, CA 90245 |
| Street Address |
1401 DEAN ST SE SUITE H |
| City | ROME |
| State | GA |
| Zip Code | 30161-6494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069256 | Three Rivers Housing and Development Corporation | Chore Provider | 326 W. 9th St, Rome, GA 30161 | 2020-03-27 |
| 1144865957 | Eric Alan Fuller | Audiologist-Hearing Aid Fitter | 700 East 2nd Street, Suite C, Rome, GA 30161 | 2019-11-15 |
| 1003394883 | Cindy V Shelton | Health Educator | 204 E 1st Ave, Rome, GA 30161 | 2018-08-02 |
| 1083153597 | Julie Oglesby Allen | Counselor | 1 S Broad St Sw Ste 5, Rome, GA 30161 | 2017-02-16 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1407259112 | Angela Smith | Community/Behavioral Health | 109 John Maddox Suite 200, Rome, GA 30161 | 2014-10-08 |
| 1215344379 | Nancy Patel | Pharmacist | 1421 North Broad St, Rome, GA 30161 | 2014-07-21 |
| 1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
| 1558526202 | Marilyn Teresa Ringstaff | Registered Nurse | 1513 Dean St., Rome, GA 30161 | 2008-07-22 |
| 1134310147 | Reneka L Dobbs-jackson | Family Medicine | 420 E 2nd Ave Ste 103, Rome, GA 30161 | 2007-08-05 |
| Find all providers in zip 30161 | ||||
| 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 |
|---|---|---|---|---|
| 1851302236 | Harbin Clinic, LLC | Clinic/Center | 172 Three Rivers Dr Ne, Rome, GA 30161-4999 | 2006-08-10 |
| 1356319560 | Dva Healthcare Renal Care Inc | Clinic/Center | 20 Riverbend Dr Sw Ste 100, Rome, GA 30161-6066 | 2006-03-14 |
| 1841777455 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 315 W 10th St Ne Ste 105, Rome, GA 30165-2676 | 2018-07-26 |
| 1851803670 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 221 Technology Pkwy Nw, Rome, GA 30165-1369 | 2017-11-02 |
| 1710499512 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 172 Three Rivers Dr Ne, Rome, GA 30161-4999 | 2017-11-02 |
| 1952726945 | Renalsouth of Rome LLC | Clinic/Center | 315 W 10th St Ne, Suite 105, Rome, GA 30165-2676 | 2014-02-27 |
| 1598851545 | Faxton-st. Lukes Healthcare | Clinic/Center | 91 Perimeter Rd, Ste. 140, Rome, NY 13441 | 2006-10-05 |
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|---|---|---|---|---|
| 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.