DCA OF WEST BALTIMORE LLC (NPI# 1881657203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881657203 |
| Entity Type | Organization |
| Organization Name | DCA OF WEST BALTIMORE LLC |
| Other Organization Name | U S RENAL CARE WEST BALTIMORE DIALYSIS |
| Practice Address |
22 S Athol Ave Baltimore MD 21229-3405 |
| Mailing Address |
Po Box 19119 Jonesboro AR 72403-6601 |
| Practice Telephone | 4109473227 |
| Practice Fax Number | 4109473711 |
| Mailing Telephone | 8709315400 |
| Mailing Fax Number | 8709315418 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2013-10-28 |
| Authorized Official Name | MR. THOMAS L WEINBERG (VICE PRESIDENT & SECRETARY) |
| Authorized Official Telephone | 2147362700 |
| Is Organization Subpart | Y |
| Parent Organization Name | U S RENAL CARE INC |
| 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 |
|---|---|---|---|
| MD | 408836100 | 05 |
| Other Name | Type Code |
|---|---|
| U S Renal Care West Baltimore Dialysis | Doing Business As Name - Organization |
| Street Address |
22 S ATHOL AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638908 | Future Care-irvington, LLC | Skilled Nursing Facility | 22 S Athol Ave, Baltimore, MD 21229-3405 | 2005-06-10 |
| 1215540323 | Kelly Mcgrath | 22 S Athol Ave, Baltimore, MD 21229-3405 | 2020-08-28 | |
| 1477917383 | Future Care-irvington, LLC | Skilled Nursing Facility | 22 S Athol Ave, Baltimore, MD 21229-3405 | 2016-04-06 |
| 1205212032 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 22 S Athol Ave, Baltimore, MD 21229-3405 | 2015-08-04 |
| 1780095000 | Chukwudozie Mochaa-uchefuna | Nurse Practitioner | 22 S Athol Ave, Baltimore, MD 21229-3405 | 2014-05-09 |
| 1699828517 | Julia Fon-kats | Nurse Practitioner | 22 S Athol Ave, Baltimore, MD 21229-3405 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| 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 |
|---|---|---|---|---|
| 1639660962 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 5315 York Rd, Baltimore, MD 21212-3830 | 2018-05-22 |
| 1851740096 | Northpoint Dialysis Clinic LLC | Clinic/Center | 1046 North Point Road, Baltimore, MD 21224 | 2016-06-08 |
| 1699121517 | Fresenius Medical Care Nw Baltimore, LLC | Clinic/Center | 2 Hamill Rd Ste 200, Baltimore, MD 21210-1817 | 2016-05-10 |
| 1689035693 | Baltimore County Dialysis, LLC | Clinic/Center | 407 N Caroline St Ste 100, Baltimore, MD 21231-1003 | 2016-03-18 |
| 1346621554 | Kidney Home Center, LLC | Clinic/Center | 200 Saint Paul St Ste 5, Baltimore, MD 21202-2025 | 2015-06-12 |
| 1942623129 | Braidwood Dialysis LLC | Clinic/Center | 200 Saint Paul Pl, Suite 5, Baltimore, MD 21202-2004 | 2014-01-24 |
| 1114351863 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 1046 S Northpoint Rd, Baltimore, MD 21224-3307 | 2013-08-29 |
| 1821330952 | Fresenius Medical Care Essex Dundalk, LLC | Clinic/Center | 1107 N Point Blvd Ofc Park, Suite 201, Baltimore, MD 21224-3420 | 2013-03-27 |
| 1306112693 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 4700 Hartford Road, Baltimore, MD 21214 | 2012-03-30 |
| 1073720827 | Bio Medical Applications of Maryland Inc | Clinic/Center | 1104 Walters Ave, Baltimore, MD 21239 | 2007-05-17 |
| Find all providers in BALTIMORE | ||||
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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.