RAI CARE CENTERS OF NORTH CAROLINA II, LLC (NPI# 1932118460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932118460 |
| Entity Type | Organization |
| Organization Name | RAI CARE CENTERS OF NORTH CAROLINA II, LLC |
| Other Organization Name | RAI-GLENWATER-CHARLOTTE |
| Practice Address |
9030 Glenwater Dr Charlotte NC 28262-8563 |
| Mailing Address |
1550 W. Mcewen Drive Suite 500 Franklin TN 37067-1731 |
| Practice Telephone | 7045036900 |
| Practice Fax Number | 7045030303 |
| Mailing Telephone | 6156611100 |
| Mailing Fax Number | 6155073300 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2011-02-10 |
| Authorized Official Name | MR. JON M SUNDOCK (VICE PRESIDENT) |
| Authorized Official Telephone | 6155073307 |
| 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 |
|---|---|---|---|
| NC | BCBS | 001G3 | 01 |
| NC | CIGNA HEALTHCARE | 2164870 | 01 |
| NC | 3412591 | 05 | |
| NC | AETNA | 7494342 | 01 |
| Other Name | Type Code |
|---|---|
| RAI-Glenwater-Charlotte | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376552331 | Rai Care Centers of North Carolina II, LLC | Clinic/Center | 213 West College Street, Warsaw, NC 28398-1811 | 2006-08-07 |
| 1215946769 | Rai Care Centers of North Carolina II, LLC | Clinic/Center | 3515 Latrobe Dr, Charlotte, NC 28211-4853 | 2006-08-05 |
| 1962411405 | Rai Care Centers of North Carolina II, LLC | Clinic/Center | 2604 N Hospital Rd, Goldsboro, NC 27534 | 2006-08-05 |
| Street Address |
9030 GLENWATER DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-8563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609244987 | Jamala Sampson | Dietitian, Registered | 9030 Glenwater Dr, Charlotte, NC 28262-8563 | 2015-09-03 |
| 1689940108 | Dialysis Newco Inc | Clinic/Center | 9030 Glenwater Dr, Charlotte, NC 28262-8563 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| 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 |
|---|---|---|---|---|
| 1639671357 | Total Renal Care of North Carolina LLC | Clinic/Center | 9562 Rocky River Rd, Charlotte, NC 28215 | 2018-03-08 |
| 1851891774 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3211 Bishops Way Lane, Charlotte, NC 28215 | 2018-02-16 |
| 1821500661 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 5601 Tuckaseegee Rd, Charlotte, NC 28208-2525 | 2017-11-02 |
| 1952833188 | Captree Dialysis LLC | Clinic/Center | 5100 Reagan Drive, Ste 10, Charlotte, NC 28206-1353 | 2017-03-28 |
| 1528438215 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 14166 Steele Creek Rd, Charlotte, NC 28273-3968 | 2015-10-07 |
| 1689868739 | Dva Healthcare Renal Care Inc | Clinic/Center | 6620 Old Statesville Rd, Charlotte, NC 28269-6768 | 2007-08-31 |
| 1538259031 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 928 Baxter St, Charlotte, NC 28204-2802 | 2006-10-13 |
| 1629168125 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 5220 N Tryon St, Suite A, Charlotte, NC 28213-7070 | 2006-10-13 |
| 1083704589 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 7901 England St, Charlotte, NC 28273-5915 | 2006-10-13 |
| 1609988419 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1334 Central Ave, Charlotte, NC 28205-5010 | 2006-08-31 |
| Find all providers in CHARLOTTE | ||||
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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.