CAPTREE DIALYSIS LLC (NPI# 1952833188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952833188 |
| Entity Type | Organization |
| Organization Name | CAPTREE DIALYSIS LLC |
| Other Organization Name | SUGAR CREEK DIALYSIS |
| Practice Address |
5100 Reagan Drive Ste 10 Charlotte NC 28206-1353 |
| Mailing Address |
5200 Virginia Way L & C Department Brentwood TN 37027-7569 |
| Practice Telephone | 7049219823 |
| Practice Fax Number | 7045972902 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | JOHN 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 |
NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1952833188 | 05 |
| Other Name | Type Code |
|---|---|
| Sugar Creek Dialysis | Doing Business As Name - Organization |
| Street Address |
5100 REAGAN DRIVE STE 10 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28206-1353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
| 1609433291 | Life Interrupted Counseling Services | Counselor | 4045 N Tryon St Ste A, Charlotte, NC 28206 | 2019-05-20 |
| 1295141216 | Taqiyah Camyah Barber | Prosthetic/Orthotic Supplier | 3829 Perennial Terrace Dr, #g, Charlotte, NC 28206 | 2014-07-10 |
| 1386976033 | Olugboyega Remi Fisher | Community Health Worker | 1801 N.tryon Street, Suiteb114, Charlotte, NC 28206 | 2010-02-05 |
| 1821225699 | Alzenia Kelly Morris | Counselor | 1801 N Tryon Street Ste 339, Charlotte, NC 28206 | 2009-06-18 |
| 1942479936 | American Current Care of North Carolina PC | Clinic/Center | 2835 Jeff Adams Drive, Suite A, Charlotte, NC 28206 | 2008-02-25 |
| 1992823629 | Shari J Baum | Preventive Medicine | 2830 North I-85, Suite A and B, Charlotte, NC 28206 | 2007-03-27 |
| 1255479135 | Tameka Denise Jenkins | Counselor | 1600 Norris Ave., Charlotte, NC 28206 | 2007-02-02 |
| 1871655803 | Dwight Hollier | Counselor | 1801 North Tryon Street, Suite 309, Charlotte, NC 28206 | 2006-12-15 |
| 1093213621 | Mishelle L Lockerby | Counselor | 5108 Reagan Dr, Charlotte, NC 28206 | 2018-01-29 |
| Find all providers in zip 28206 | ||||
| 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 |
| 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 |
| 1457463267 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1534 N Hoskins Rd, Charlotte, NC 28216-3602 | 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.