BONISTER DIALYSIS, LLC (NPI# 1821447962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821447962 |
| Entity Type | Organization |
| Organization Name | BONISTER DIALYSIS, LLC |
| Other Organization Name | OSLO DIALYSIS |
| Practice Address |
100 S Us Highway 1 Vero Beach FL 32962-3630 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7725678496 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
| Other Name | Type Code |
|---|---|
| Oslo Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235607144 | Bonister Dialysis, LLC | Clinic/Center | 5947 20th St, Vero Beach, FL 32966-4676 | 2018-11-08 |
| Street Address |
100 S US HIGHWAY 1 |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32962-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922148170 | Leslie Ann Darby II | Specialist/Technologist | 100 S Us Highway 1, Suite 6, Vero Beach, FL 32962-3630 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512577 | Brennen T Murphy | Behavior Technician | 2036 15th St Sw, Vero Beach, FL 32962 | 2020-06-09 |
| 1912426289 | Dacia Rose Swartz | Technician, Other | 241 14th. St. Sw, Vero Beach, FL 32962 | 2017-09-18 |
| 1336688670 | Diamond Behavioral Services | Behavior Technician | 460 7th Place, Vero Beach, FL 32962 | 2017-02-20 |
| 1093148736 | Ashley Ann Baum | Nurse Practitioner | 1545 9th St. S.w., Vero Beach, FL 32962 | 2013-08-16 |
| 1215379631 | Charlene Marylee Foulk | Nurse's Aide | 985 23rd Place Sw, Vero Beach, FL 32962 | 2013-07-26 |
| 1295028314 | John Robert Moore | Behavioral Analyst | 815 24th St Sw, Vero Beach, FL 32962 | 2011-05-23 |
| 1801042825 | Celena Benjamin | Counselor | 950 6th Ln, Vero Beach, FL 32962 | 2008-08-10 |
| 1881882736 | Mary K Mackanos | Massage Therapist | 396 10th Ct, Vero Beach, FL 32962 | 2007-10-04 |
| 1659494813 | Shirley Ann Allen | Home Health Aide | 2155 15 St Sw, Oslo Park, Vero Beach, FL 32962 | 2007-04-10 |
| 1740347343 | Charles Kerth Stewart | Veterinarian | 890 Old Dixie Highway Sw, Live Oak Animal Hospital, Vero Beach, FL 32962 | 2007-01-02 |
| Find all providers in zip 32962 | ||||
| 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 |
|---|---|---|---|---|
| 1235607144 | Bonister Dialysis, LLC | Clinic/Center | 5947 20th St, Vero Beach, FL 32966-4676 | 2018-11-08 |
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1528113156 | Indian River Dialysis Center LLC | Clinic/Center | 2150 45th St Unit 102, Vero Beach, FL 32967-6281 | 2007-01-24 |
| 1710937511 | National Medical Care Inc | Clinic/Center | 1515 Indian River Blvd, Rcc Vero Beach Ste A 101, Vero Beach, FL 32960 | 2006-05-11 |
| 1730357393 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 1515 Indian River Blvd, Ste. A-101 Ckd Services of Vero Beach, Vero Beach, FL 32960-5627 | 2008-02-18 |
| 1194769901 | National Medical Care, Inc. | Clinic/Center | 1515 Indian River Blvd, Vero Beach, FL 32960-5627 | 2006-06-15 |
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|---|---|---|---|---|
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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 |
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| 1992321244 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 | 2020-06-23 |
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| 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 | VERO BEACH |
| Zip Code | 32962 |
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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.