DVA RENAL HEALTHCARE INC


Address: 19395 W Capitol Dr Bldg C, Brookfield, WI 53045-2736
Phone: 2627810273

DVA RENAL HEALTHCARE INC (NPI# 1881659639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881659639
Entity Type Organization
Organization Name DVA RENAL HEALTHCARE INC
Other Organization Name BROOKFIELD DIALYSIS
Practice Address 19395 W Capitol Dr Bldg C
Brookfield
WI 53045-2736
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 2627810273
Practice Fax Number 2627810305
Mailing Telephone 6153416264
Mailing Fax Number 8002972925
Enumeration Date 2006-04-17
Last Update Date 2020-05-26
Authorized Official Name JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334501
Is Organization Subpart N

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
WI 1881659639 05

Other Provider/Organization Names

Other Name Type Code
Brookfield Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629415609 Dva Renal Healthcare Inc Clinic/Center 300 B 22nd St South, Birmingham, AL 35233-2209 2013-05-30
1164728408 Dva Renal Healthcare Inc Clinic/Center 415 W Nc Hwy 54, Durham, NC 27713-7516 2011-02-03
1295983245 Dva Renal Healthcare Inc Clinic/Center 1919 Charlotte Ave Ste 200, Nashville, TN 37203-2245 2008-09-03
1811171440 Dva Renal Healthcare Inc Clinic/Center 300 W Broadway Ste 150, Council Bluffs, IA 51503-9077 2007-12-18
1881623585 Dva Renal Healthcare Inc Clinic/Center 271 King St, Perth Amboy, NJ 08861-4488 2006-07-03
1164451852 Dva Renal Healthcare Inc Clinic/Center 262 Texas Rd, Ste 101, Old Bridge, NJ 08857-4008 2006-07-03
1912936618 Dva Renal Healthcare Inc Clinic/Center 1200 Randolph Rd, Muhlenburg Campus, Plainfield, NJ 07060-3361 2006-07-03
1346270782 Dva Renal Healthcare Inc Clinic/Center 230 Van Sciver Pkwy, Willingboro, NJ 08046-1131 2006-07-03
1548299381 Dva Renal Healthcare Inc Clinic/Center 29 Meridian Rd, Edison, NJ 08820-2823 2006-07-02
1548299373 Dva Renal Healthcare Inc Clinic/Center 14-20 Prospect St, East Orange, NJ 07017-2238 2006-07-02

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities DVA Renal Healthcare Inc. 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117

Office Location

Street Address 19395 W CAPITOL DR BLDG C
City BROOKFIELD
State WI
Zip Code 53045-2736

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801436159 Jeannie Spoon Behavioral Analyst 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 2020-01-14
1629635313 Hallie Mackenzie Ritchay Speech-Language Pathologist Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 2019-05-29
1427535038 Kimberly Ann Beres Registered Nurse 2253 Norhardt Dr, Brookfield, WI 53045 2018-07-26
1265927768 Brady Frederick Bachmann Physical Therapist 275 Regency Ct., Suite 200, Brookfield, WI 53045 2018-06-27
1841792603 Wisconsin Renal Care Group, L.L.C. Clinic/Center 17500 W Capitol Drive, Brookfield, WI 53045 2018-03-07
1750828299 Nanette Marie Kloth Nurse Practitioner 18110 W Bluemond Rd, Brookfield, WI 53045 2017-01-23
1144772013 Saida Reifenrath Acupuncturist 240 Regency Court, Suite 102, Brookfield, WI 53045 2016-10-26
1437545951 Kylee Stevenson Chiropractor 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 2015-04-10
1548659725 Patricia Ann Kender Nurse Practitioner 17495 W. Capitol Dr., Brookfield, WI 53045 2015-01-12
1568882793 Kassandra E Holzem Dermatology 195 Discovery Dr, Brookfield, WI 53045 2014-04-28
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841792603 Wisconsin Renal Care Group, L.L.C. Clinic/Center 17500 W Capitol Drive, Brookfield, WI 53045 2018-03-07
1023194719 Purity Dialysis Centers, Inc Clinic/Center 18740 W Bluemound Rd, Brookfield, WI 53045-2936 2006-10-27
1982122354 Concerto Wisconsin LLC Clinic/Center 13905 W Burleigh Rd, Brookfield, WI 53005-3036 2017-09-06
1104367564 Total Renal Care Inc Clinic/Center 18740 W Bluemound Rd, Brookfield, WI 53045-2936 2017-03-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679171599 Dubuque Internal Medicine, PC Clinic/Center 190 N Orange St, Richland Center, WI 53581-2163 2020-10-13
1316570989 Fresenius Medical Care Midwest Dialysis, LLC Clinic/Center 5125 W Morgan Ave, Greenfield, WI 53220-1540 2020-02-21
1992352082 Fresenius Kidney Care Madison, LLC Clinic/Center 4600 American Pkwy Ste 102, Madison, WI 53718-8334 2019-08-22
1770040859 Fresenius Medical Care Oshkosh, LLC Clinic/Center 2700 W 9th Ave Ste 101a, Oshkosh, WI 54904-7201 2019-02-26
1972008704 Midwest Legacy Capital LLC Clinic/Center W4233 State Rd 54, Black Creek, WI 54106-8633 2018-03-26
1992212286 Total Renal Care Inc Clinic/Center 733 E Capitol Dr, Milwaukee, WI 53212 2018-01-08
1023527058 Bio-medical Applications of Wisconsin, Inc. Clinic/Center 2831 Okeeffe Ave, Sun Prairie, WI 53590-7057 2017-09-21
1093234569 Fresenius Medical Care Milwaukee, LLC Clinic/Center 2615 W Silver Spring Dr, Milwaukee, WI 53209-4219 2017-09-15
1770010928 Total Renal Care Inc Clinic/Center 9127 N 76th St, Milwaukee, WI 53223-1905 2017-05-18
1437690898 Total Renal Care Inc Clinic/Center 1905 Market Way, Watertown, WI 53094-7466 2017-03-17
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Competitor

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City BROOKFIELD
Zip Code 53045

Improve Information

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Dataset Information

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.

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