CANNEY DIALYSIS LLC (NPI# 1881181279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881181279 |
| Entity Type | Organization |
| Organization Name | CANNEY DIALYSIS LLC |
| Other Organization Name | COUNTY LINE DIALYSIS |
| Practice Address |
21353 Nw 2nd Ave Miami Gardens FL 33169-2112 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 6153204200 |
| Practice Fax Number | 8665942893 |
| Mailing Telephone | 6153204286 |
| Mailing Fax Number | 8665942893 |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2020-01-13 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2534337500 |
| 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 |
FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| County Line Dialysis | Doing Business As Name - Organization |
| Street Address |
21353 NW 2ND AVE |
| City | MIAMI GARDENS |
| State | FL |
| Zip Code | 33169-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473786 | Total Renal Care Inc | Clinic/Center | 21353 Nw 2nd Ave, Miami Gardens, FL 33169-2112 | 2017-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265122 | Monarch Mental Health Services, LLC | Physician Assistant | 648 Nw 183 St, Miami, FL 33169 | 2020-05-04 |
| 1871158873 | Positive Point Inc | Substance Abuse Rehabilitation Facility | 111 Nw 183rd Street Suite 423, Miami, FL 33169 | 2019-05-06 |
| 1447736251 | Anoshah Justine Pierre | Nurse Practitioner | 580 Nw 189th Street, Miami, FL 33169 | 2018-07-15 |
| 1770074627 | Jorge E Quinzada | Occupational Therapist | 18350 Nw 2ave, Miami, Gardens,fl, FL 33169 | 2018-05-27 |
| 1043700578 | South Beach Detox LLC | Substance Abuse Rehabilitation Facility | 85 Nw 168th St, North Miami Beach, FL 33169 | 2018-05-10 |
| 1689197972 | Misurez Medical Center Corp | General Practice | 18350 Nw 2 Ave, 622, Miami Gardens, FL 33169 | 2017-07-19 |
| 1831619733 | Barbara C Chacon | Behavior Technician | 130 Nw 191 St, Miami, FL 33169 | 2017-06-21 |
| 1780041665 | Elizabeth Lovette Ugokwe | Registered Nurse | 330 North Biscayne River Drive, Miami, FL 33169 | 2016-01-22 |
| 1205221207 | Cristina Dou | Family Medicine | Vitas Hospice 16800 Nw 2nd Ave, Suite 400, Miami Beach, FL 33169 | 2015-04-06 |
| 1457757635 | Anthony Richard Denbow | Assisted Living Facility | 1074 Nw 153 Street, Miami, FL 33169 | 2014-11-14 |
| Find all providers in zip 33169 | ||||
| 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 |
|---|---|---|---|---|
| 1417473786 | Total Renal Care Inc | Clinic/Center | 21353 Nw 2nd Ave, Miami Gardens, FL 33169-2112 | 2017-08-18 |
| 1801263009 | Nulife Dialysis, Inc. | Clinic/Center | 4805 Nw 183rd St, Miami Gardens, FL 33055-2955 | 2015-08-24 |
| 1710373634 | First Prevention & Dialysis Center,llc | Clinic/Center | 17940 Nw 27th Ave, Miami Gardens, FL 33056-3505 | 2015-04-07 |
| 1043277015 | Dva Renal Healthcare Inc | Clinic/Center | 3363 Nw 167th St, Miami Gardens, FL 33056-4254 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496104 | Kidney Care Center of Winter Haven LLC | Clinic/Center | 1107 3rd St Sw Ste 9, Winter Haven, FL 33880-3912 | 2020-10-27 |
| 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 | MIAMI GARDENS |
| Zip Code | 33169 |
Please comment or provide details below to improve the information on CANNEY 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.