DVA HEALTHCARE RENAL CARE INC (NPI# 1902865876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902865876 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE RENAL CARE INC |
| Other Organization Name | WYANDOTTE WEST DIALYSIS |
| Practice Address |
11013 Haskell Ave Kansas City KS 66109-4404 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 9137219780 |
| Practice Fax Number | 9137219818 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-07-27 |
| Authorized Official Name | JOHN WINSTEL (CHIEF FINANCIAL 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 | 505217406 | 05 | |
| KS | 100213850N | 05 | |
| GA | 946155373A | 05 |
| Other Name | Type Code |
|---|---|
| Wyandotte West Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831690098 | Dva Healthcare Renal Care Inc | Clinic/Center | 3901 N Roxboro St Ste 108, Durham, NC 27704-2181 | 2018-02-23 |
| 1639695984 | Dva Healthcare Renal Care Inc | Clinic/Center | 209 Nc Highway 111 S, Goldsboro, NC 27534-9253 | 2017-08-18 |
| 1710351531 | Dva Healthcare Renal Care Inc | Clinic/Center | 101 Davita Ln, Elizabeth City, NC 27909-3314 | 2015-11-17 |
| 1851769848 | Dva Healthcare Renal Care Inc | Clinic/Center | 9622 Kincey Ave, Huntersville, NC 28078-9140 | 2015-09-08 |
| 1447643408 | Dva Healthcare Renal Care Inc | Clinic/Center | 1274 Ruin Creek Road, Henderson, NC 27537-4168 | 2015-03-13 |
| 1205116167 | Dva Healthcare Renal Care Inc | Clinic/Center | 11308 Hawthorne Dr, Mint Hill, NC 28227-9300 | 2011-08-24 |
| 1932363744 | Dva Healthcare Renal Care Inc | Clinic/Center | 7260 E Marshville Blvd, Marshville, NC 28103-1191 | 2008-07-11 |
| 1689868739 | Dva Healthcare Renal Care Inc | Clinic/Center | 6620 Old Statesville Rd, Charlotte, NC 28269-6768 | 2007-08-31 |
| 1700815487 | Dva Healthcare Renal Care Inc | Clinic/Center | 3053 State Route 35, Ste 201, Hazlet, NJ 07730-1526 | 2006-07-03 |
| 1508895632 | Dva Healthcare Renal Care Inc | Clinic/Center | 1164 E Route 130, Burlington, NJ 08016-2954 | 2006-07-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DVA HEALTHCARE RENAL CARE INC. | 2000 16th St, Jld/Secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
11013 HASKELL AVE |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66109-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154796688 | Lance Miller | Pharmacist | 10510 Parallel, Kansas City, KS 66109 | 2015-12-09 |
| 1386016293 | Tara Newton | Community Health Worker | 2821 N 91 St, Kansas City, KS 66109 | 2015-10-30 |
| 1952726473 | Dia L Herr | Clinic/Center | 2617 N. 69th Street, Kansas City, KS 66109 | 2014-02-20 |
| 1033559570 | Legends Dental Group, P.a. | Dentist | 10818 Parallel Parkway, Kansas City, KS 66109 | 2013-06-28 |
| 1215277694 | Kristin Kathleen Porter | Dietitian, Registered | 10124 Hutton Road, Kansas City, KS 66109 | 2013-02-22 |
| 1932459229 | Sams West, Inc | Technician/Technologist | 10510 Parrallel Pkwy, Kansas City, KS 66109 | 2012-09-13 |
| 1356642276 | Anjali Doshi | Dentist | 10818 Parallel Pkwy, Kansas City, KS 66109 | 2010-11-09 |
| 1841411675 | Wendy Ann Brakhage | Chiropractor | 2300 Hutton Road, Suite 101, Kansas City, KS 66109 | 2007-05-01 |
| 1205953742 | Lisa R Gonzales | Dentist | 10203 Leavenworth Road, Kansas City, KS 66109 | 2007-03-22 |
| 1497898290 | Shannon R Margherio | Physical Therapist | 1801 N 98th Street, Kansas City, KS 66109 | 2007-02-14 |
| Find all providers in zip 66109 | ||||
| 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 |
|---|---|---|---|---|
| 1033602990 | Lantell Dialysis LLC | Clinic/Center | 8608 E 63rd St, Kansas City, MO 64133-4725 | 2018-06-14 |
| 1518407493 | Dialysis Clinic Inc | Clinic/Center | 2715 Swope Pkwy, Kansas City, MO 64130 | 2017-02-27 |
| 1306381942 | Caddoan Dialysis LLC | Clinic/Center | 2852 W 47th Ave, Kansas City, KS 66103-3243 | 2017-01-05 |
| 1750833489 | Home Dialysis Services Kc Midtown LLC | Clinic/Center | 1728 Holmes St, Kansas City, MO 64108-1539 | 2016-10-28 |
| 1174900500 | Total Renal Care Inc | Clinic/Center | 8260 N Booth Ave, Kansas City, MO 64158-7201 | 2015-05-06 |
| 1285990168 | Lone Dialysis LLC | Clinic/Center | 4407 E 50th Ter, Kansas City, MO 64130-2855 | 2012-04-05 |
| 1679734263 | Total Renal Care Inc | Clinic/Center | 5001 State Ave, Kansas City, KS 66102 | 2008-06-17 |
| 1518142710 | Isd Kansas City LLC | Clinic/Center | 3947 Broadway St, Kansas City, MO 64111-2516 | 2008-01-07 |
| 1376740555 | Nra Ukmc Kansas LLC | Clinic/Center | 6401 Parallel Parkway, Kansas City, KS 66102-1042 | 2007-06-29 |
| 1396837803 | Wyandotte Central Dialysis LLC | Clinic/Center | 3737 State Ave, Kansas City, KS 66102-3830 | 2006-09-29 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66109 |
Please comment or provide details below to improve the information on DVA HEALTHCARE RENAL CARE INC.
| 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.