TONKA BAY DIALYSIS LLC (NPI# 1942602206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942602206 |
| Entity Type | Organization |
| Organization Name | TONKA BAY DIALYSIS LLC |
| Other Organization Name | HEART OF MARION DIALYSIS |
| Practice Address |
1221 Delaware Ave Marion OH 43302-6419 |
| Mailing Address |
5200 Virginia Way L&c Department Brentwood TN 37027-7569 |
| Practice Telephone | 7403750849 |
| Practice Fax Number | 7403750869 |
| Mailing Telephone | 6152383051 |
| Mailing Fax Number | 8002468346 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING 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 |
|---|---|---|---|
| OH | 0127882 | 05 |
| Other Name | Type Code |
|---|---|
| Heart of Marion Dialysis | Doing Business As Name - Organization |
| Street Address |
1221 DELAWARE AVE |
| City | MARION |
| State | OH |
| Zip Code | 43302-6419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003222001 | Total Renal Care, Inc. | Clinic/Center | 1221 Delaware Ave, Marion, OH 43302-6419 | 2014-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
| 1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
| 1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
| Find all providers in zip 43302 | ||||
| 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 |
|---|---|---|---|---|
| 1669001038 | Honeyman Dialysis LLC | Clinic/Center | 701 Tama St Ste 150, Marion, IA 52302-4806 | 2020-04-07 |
| 1932651577 | Total Renal Care Inc | Clinic/Center | 2529 E Highway 76, Marion, SC 29571-6347 | 2016-10-31 |
| 1740635978 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 945 N Main St, Marion, VA 24354-4165 | 2016-04-25 |
| 1003222001 | Total Renal Care, Inc. | Clinic/Center | 1221 Delaware Ave, Marion, OH 43302-6419 | 2014-07-10 |
| 1609127273 | Renal Treatment Centers Southeast Lp | Clinic/Center | 611 E Lafayette St, Marion, AL 36756-2325 | 2012-09-24 |
| 1396006292 | Monahans Dialysis LLC | Clinic/Center | 1587 N Main St, Marion, VA 24354-4317 | 2012-06-06 |
| 1720190556 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 109 Merritt Ct., Marion, SC 29571-4914 | 2006-08-31 |
| 1508971342 | Bio-medical Applications of Illinois, Inc. | Clinic/Center | 900 Skyline Dr, Suite 200, Marion, IL 62959-4972 | 2006-08-20 |
| 1710092556 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 1730 Marion Waldo Rd, Marion, OH 43302-7428 | 2006-08-20 |
| 1932118403 | Renal Life Link Inc | Clinic/Center | 324 S 4th St, Marion, IL 62959-1241 | 2006-08-05 |
| Find all providers in MARION | ||||
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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.