DIALYSIS CARE, LLC (NPI# 1932268240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932268240 |
Entity Type | Organization |
Organization Name | DIALYSIS CARE, LLC |
Other Organization Name | TLC DIALYSIS CARE, LLC |
Practice Address |
761 Mountain View Dr Stone Mountain GA 30083-3547 |
Practice Telephone | 6785160030 |
Practice Fax Number | 7704699686 |
Mailing Telephone | 6785160030 |
Mailing Fax Number | 7704699686 |
Enumeration Date | 2006-12-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. GWENNETTE JANAYE CLAXTON (OWNER) |
Authorized Official Telephone | 6785160030 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WH0500X |
Registered Nurse Specialization: Hemodialysis |
Nursing Service Providers |
Other Name | Type Code |
---|---|
TLC Dialysis Care, LLC | Doing Business As Name - Organization |
Street Address |
761 MOUNTAIN VIEW DR |
City | STONE MOUNTAIN |
State | GA |
Zip Code | 30083-3547 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
Find all providers in zip 30083 |
Taxonomy Code | 163WH0500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Hemodialysis |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609040070 | Vannette Machelle Jones | Registered Nurse | 4318 Bath Edie Rd, Hephzibah, GA 30815-5594 | 2008-04-16 |
1649896143 | Monique Mellissa Hayles | Registered Nurse | 1199 Prince Ave, Athens, GA 30606-2797 | 2020-06-19 |
1255897575 | Rochelle Deavis Hunt-khan | Registered Nurse | 950 15th St, Augusta, GA 30901-2608 | 2019-02-11 |
1437556016 | Rhonda Serrette | Registered Nurse | 1275 Cleveland Ave, East Point, GA 30344-3433 | 2014-11-26 |
City | STONE MOUNTAIN |
Zip Code | 30083 |
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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.