SPARDA DIALYSIS LLC (NPI# 1851892731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851892731 |
| Entity Type | Organization |
| Organization Name | SPARDA DIALYSIS LLC |
| Other Organization Name | HOUSE SPRINGS DIALYSIS |
| Practice Address |
40 Walters Pl House Springs MO 63051-1491 |
| Mailing Address |
5200 Virginia Way L & C Department Brentwood TN 37027-7569 |
| Practice Telephone | 6363755270 |
| Practice Fax Number | 6363755302 |
| Mailing Telephone | 6153416264 |
| Mailing Fax Number | 8002972925 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | JOHN 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 500060485 | 05 |
| Other Name | Type Code |
|---|---|
| House Springs Dialysis | Doing Business As Name - Organization |
| Street Address |
40 WALTERS PL |
| City | HOUSE SPRINGS |
| State | MO |
| Zip Code | 63051-1491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821440579 | Caregiver's Choice LLC | Nursing Care | 12 Gravis Station Road, House Springs, MO 63051 | 2016-07-06 |
| 1851730881 | Amber Nichole Farmar | Behavioral Analyst | 4270 Nw Point Dr., House Springs, MO 63051 | 2013-06-24 |
| 1497038947 | Rebecca Rea O'reilly | Pharmacist | 4535 Hunter Ln, House Springs, MO 63051 | 2011-09-21 |
| 1568614477 | Almiron Clinic, Inc. | Family Medicine | 4581 Gravois Rd, House Springs, MO 63051 | 2008-10-22 |
| 1992727093 | Osias A Almiron | Family Medicine | 4581 Gravois Rd, House Springs, MO 63051 | 2006-07-25 |
| 1154495893 | Janice Herr Rowley | Massage Therapist | 6607 North Dr, Byrnes Mill, MO 63051-1031 | 2006-11-17 |
| 1477530814 | Renee L Willer | Nurse Practitioner | 4581 Gravois Rd, House Springs, MO 63051-1374 | 2005-12-28 |
| 1922004928 | Leon Romaine | Optometrist | 4575 Gravois Rd, House Springs, MO 63051-1374 | 2005-06-23 |
| 1649640657 | Heather D Krafve | Nurse Practitioner | 4581 Gravois Rd, House Springs, MO 63051-1374 | 2015-10-02 |
| 1255730446 | Lake Girl, Inc | Clinic/Center | 4581 Gravois Rd, House Springs, MO 63051-1374 | 2014-08-14 |
| Find all providers in zip 63051 | ||||
| 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 |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1902415284 | Fresenius Medical Care Creve Coeur Home Therapies, LLC | Clinic/Center | 450 N New Ballas Rd Ste 170, Creve Coeur, MO 63141-6835 | 2020-07-23 |
| 1730716085 | Fresenius Medical Care Creve Coeur, LLC | Clinic/Center | 450 North New Bassas Road, Suite 180, Creve Coeur, MO 63141-6835 | 2020-03-26 |
| 1285109041 | Branson Kidney Center LLC | Clinic/Center | 17829 Bus 13, Branson West, MO 65737 | 2018-10-09 |
| 1790271864 | Dialysis Clinic Inc | Clinic/Center | 3101 W Broadway Ste 115, Columbia, MO 65203-0496 | 2018-07-02 |
| 1033602990 | Lantell Dialysis LLC | Clinic/Center | 8608 E 63rd St, Kansas City, MO 64133-4725 | 2018-06-14 |
| 1063923753 | Isd Renal Inc | Clinic/Center | 1702 E 10th St Ste C, Rolla, MO 65401-4600 | 2017-10-20 |
| 1063923977 | Total Renal Care Inc | Clinic/Center | 802 Jules St, St Joseph, MO 64501-1944 | 2017-10-18 |
| 1942710991 | Washington University | Clinic/Center | 272 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 | 2017-10-04 |
| 1376077123 | Isd Renal, Inc. | Clinic/Center | 14001 New Halls Ferry Rd Ste 133, Florissant, MO 63033-2708 | 2017-04-19 |
| Find all providers with the same taxonomy | ||||
| City | HOUSE SPRINGS |
| Zip Code | 63051 |
Please comment or provide details below to improve the information on SPARDA DIALYSIS LLC.
| 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.