RENAL TREATMENT CENTERS SOUTHEAST LP (NPI# 1922064849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922064849 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS SOUTHEAST LP |
| Other Organization Name | SANTA ROSA DIALYSIS |
| Practice Address |
5819 Highway 90 Milton FL 32583-1763 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8506238299 |
| Practice Fax Number | 8506239616 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2019-06-10 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER, TREASURER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
|---|---|---|---|
| FL | 891200900 | 05 |
| Other Name | Type Code |
|---|---|
| Santa Rosa Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689176711 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1510 Eastern Blvd, Montgomery, AL 36117-1629 | 2018-03-05 |
| 1376075523 | Renal Treatment Centers Southeast Lp | Clinic/Center | 2443 Monarch Dr, Laredo, TX 78045-6329 | 2017-03-28 |
| 1134667264 | Renal Treatment Centers Southeast Lp | Clinic/Center | 2860 Us Highway 83, Zapata, TX 78076 | 2017-02-09 |
| 1528517752 | Renal Treatment Centers Southeast Lp | Clinic/Center | 404 S Veterans Blvd, Ste D, Edinburg, TX 78539 | 2016-09-29 |
| 1902353543 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1006 E Interstate Highway 2, Donna, TX 78537-4153 | 2016-09-01 |
| 1285087189 | Renal Treatment Centers Southeast Lp | Clinic/Center | 6626 Antoine Dr, Houston, TX 77091-1206 | 2016-07-15 |
| 1992134340 | Renal Treatment Centers Southeast Lp | Clinic/Center | 5406 Highway 280, Suite D107, Birmingham, AL 35242-6592 | 2013-11-06 |
| 1538503008 | Renal Treatment Centers Southeast Lp | Clinic/Center | 7580 Fannin St Ste 200, Houston, TX 77054-1900 | 2013-04-26 |
| 1881938207 | Renal Treatment Centers Southeast Lp | Clinic/Center | 115 Wrights St Ste A, Hot Springs, AR 71913-6240 | 2012-11-26 |
| 1891039210 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1114 W Washington St Nw, Camden, AR 71701-3827 | 2012-11-26 |
| Street Address |
5819 HIGHWAY 90 |
| City | MILTON |
| State | FL |
| Zip Code | 32583-1763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538679832 | Lifelong Behavioral Services, LLC | Behavioral Analyst | 6810 Fort Jackson Court, None, Milton, FL 32583 | 2017-10-02 |
| 1164815049 | Codi Hatfield | Counselor | 5850 East Milton Rd, Milton, FL 32583 | 2015-03-16 |
| 1962821397 | Marlene Loewen | Behavioral Analyst | 6810 Fort Jackson Ct, Milton, FL 32583 | 2014-04-14 |
| 1891263661 | Courtney Taylor Geren | Behavior Technician | 6810 Fort Jackson Ct, Milton, FL 32583 | 2018-11-09 |
| 1790320828 | Kathryn H Jones | Social Worker | 5688 Meadow Rd, Milton, FL 32583-1667 | 2019-11-13 |
| 1891984795 | Sheila Mohammed | Preventive Medicine | 5675 Highway 90, Ste B, Milton, FL 32583-1675 | 2007-10-17 |
| 1568407872 | Watson Family Dentistry | Dentist | 5750 Highway 90, Milton, FL 32583-1742 | 2006-06-19 |
| 1164081287 | Thomas Keith Rowell | Dentist | 5750 Highway 90, Milton, FL 32583-1742 | 2019-06-12 |
| 1104275254 | Robert Rowell | Dentist | 5750 Highway 90, Milton, FL 32583-1742 | 2016-06-09 |
| 1528248499 | Brett Watson | Dentist | 5750 Highway 90, Milton, FL 32583-1742 | 2007-11-08 |
| Find all providers in zip 32583 | ||||
| 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 |
|---|---|---|---|---|
| 1316059009 | Renal Care Group of The Southeast Inc | Clinic/Center | 5934 Berryhill Medical Park Dr, Suite 2, Milton, FL 32570 | 2006-08-31 |
| 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 | ||||
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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.