ADVANCED DIALYSIS CENTER, LLC (NPI# 1811095722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811095722 |
| Entity Type | Organization |
| Organization Name | ADVANCED DIALYSIS CENTER, LLC |
| Practice Address |
1785 N Hayes Street Advanced Dialysis Center Potomac Arlington VA 22202 |
| Mailing Address |
9320 Annapolis Rd #200 Advanced Dialysis Center Potomac Lanham MD 20706 |
| Practice Telephone | 7035211056 |
| Practice Fax Number | 7035211058 |
| Mailing Telephone | 3015771007 |
| Mailing Fax Number | 3015771006 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2016-01-19 |
| Authorized Official Name | MRS. MINESSIA ZARITA PEARSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3015771007 |
| Authorized Official Credential | MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0500X |
Registered Nurse Specialization: Hemodialysis |
E2642R | MD | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609904267 | Advanced Dialysis Center, LLC | Clinic/Center | 9320 Annapolis Rd, Suite 200, Lanham, MD 20706-3100 | 2007-03-02 |
| 1265062954 | Advanced Dialysis Center, LLC | Clinic/Center | 2131 Davidsonville Rd, Crofton, MD 21114-1632 | 2020-01-22 |
| 1255787115 | Advanced Dialysis Center, LLC | Clinic/Center | 610 Dutchmans Ln, Easton, MD 21601-3346 | 2016-05-10 |
| 1508029372 | Advanced Dialysis Center, LLC | Clinic/Center | 299 Hurley Ave, Rockville, MD 20850-3118 | 2008-07-02 |
| Street Address |
1785 N HAYES STREET ADVANCED DIALYSIS CENTER POTOMAC |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291474 | Gail Devonna Johnson | Home Health Aide | 2611 S Clark St Suite 700, Arlington, VA 22202 | 2020-10-06 |
| 1194331835 | Keylah Cherri Adams | Home Health Aide | 2611 South Clark Street Suite 700, Arlington, VA 22202 | 2020-09-18 |
| 1902412927 | Briggitte Marie Bradley | Home Health Aide | 2611 S Clark St. Suite 700, Arlington, VA 22202 | 2020-09-16 |
| 1730793027 | Regina Ray | Home Health Aide | 2611 South Clark Street, St.700, Arlington, VA 22202 | 2020-09-03 |
| 1255944328 | Elizabeth Ann Mayes Gross | Home Health Aide | 2611 S. Clark Street, 700, Arlington, VA 22202 | 2020-08-28 |
| 1942826425 | Maria Eugenia Flores | Home Health Aide | 2611 South Clark Street, Suite 700, Arlington, VA 22202 | 2020-06-22 |
| 1013531250 | Alistair Taylor | Student in an Organized Health Care Education/Training Program | Potomac Behavioral Solutions, 2001 Richmond Highway, Suite 800, Arlington, VA 22202 | 2020-06-03 |
| 1194349399 | Solange Abel Anagho | Home Health Aide | 2611 South Clark Street, Suite 700, Arlington, VA 22202 | 2020-06-03 |
| 1083256028 | Home Is Love Home Healthcare, LLC | Home Health | 575 12th Road S, Apt 231, Arlington, VA 22202 | 2019-10-10 |
| 1619521150 | Sarah Elizabeth Young | Physician Assistant | 1601 23rd St S, Arlington, VA 22202 | 2019-08-01 |
| Find all providers in zip 22202 | ||||
| Taxonomy Code | 163WH0500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Hemodialysis |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669672937 | Basimah Dhakirah Abubakar | Registered Nurse | 1301 Willoughby Ln Apt 5324, Arlington, TX 76011-2922 | 2007-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543463 | Eugenia Anne Storms | Registered Nurse | 2680 Pulaski Loop, Virginia Beach, VA 23456-2433 | 2019-11-20 |
| 1952555435 | Kristie Shantel Mcneil-oliver | Registered Nurse | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2008-11-10 |
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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.