DVA HEALTHCARE RENAL CARE, INC. (NPI# 1972571206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972571206 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE RENAL CARE, INC. |
| Other Organization Name | PERRY DIALYSIS |
| Practice Address |
118 W Main St Perry FL 32347-2656 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8505846012 |
| Practice Fax Number | 8505846040 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2020-05-21 |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 890087600 | 05 |
| Other Name | Type Code |
|---|---|
| Perry Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821500661 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 5601 Tuckaseegee Rd, Charlotte, NC 28208-2525 | 2017-11-02 |
| 1477517738 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 4805 1st St N, Arlington, VA 22203-2603 | 2006-04-13 |
| 1801850409 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 523 W 7th St, Weatherford, TX 76086-1536 | 2006-04-12 |
| 1346200334 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 111 Cherry Hill Rd, Baltimore, MD 21225-1392 | 2006-03-24 |
| 1003875683 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 615 Comfort Ln, Monroe, NC 28112-5599 | 2006-03-21 |
| 1043279110 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 2817 Napoleon Ave, New Orleans, LA 70115-6915 | 2006-03-18 |
| 1013986389 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 821 Lincoln Hwy, Fairview Heights, IL 62208-2216 | 2006-03-17 |
| 1376511618 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 1711 Alton Rd, Miami Beach, FL 33139-2411 | 2006-03-11 |
| 1578531802 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 878 Strong Rd, Quincy, FL 32351-5243 | 2006-03-11 |
| 1073581310 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 11306 N 53rd St, Temple Terrace, FL 33617-2214 | 2006-03-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | DVA Healthcare Renal Care, Inc. | Jld/Secgovfin, 2000 16th Street, Denver, CO 80202 |
| Oregon Corporations, Companies and Business Names | DVA HEALTHCARE RENAL CARE, INC. | Jld/Secgovfin, 2000 16th Street, Denver, CO 80202 |
| Iowa Business Entities | DVA HEALTHCARE RENAL CARE, INC. | Jldsecgovfin 2000 16th Street, Denver, CO 80202 |
| Massachusetts Corporations | DVA HEALTHCARE RENAL CARE, INC. | 2000 16th Street, Denver, CO 80202 |
| Oklahoma Business Registrations | DVA HEALTHCARE RENAL CARE, INC. | 601 Hawaii St, El Segundo, CA 90245 |
| Street Address |
118 W MAIN ST |
| City | PERRY |
| State | FL |
| Zip Code | 32347-2656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225250764 | Advance Speech and Language Center | Speech-Language Pathologist | 214 North Washington Street, Perry, FL 32347 | 2007-05-03 |
| 1043386865 | Doctors Memorial Hospital | Radiology | Doctors Memorial Hospital, 333 N Byron Butler Parkway, Perry, FL 32347 | 2006-11-24 |
| 1467472282 | Firas A Hamdan | Otolaryngology | 1224 N Peacock Ave, Perry, FL 32347 | 2006-07-21 |
| 1841229333 | Miles V Nelson | Surgery | 1218 N Peacock Ave, Perry, FL 32347 | 2006-06-30 |
| 1679518187 | Diane A Schlick | Family Medicine | 616 S Jefferson Street, Perry, FL 32347 | 2006-06-18 |
| 1609233170 | Rachel Gilliam | Occupational Therapy Assistant | 207 Marshall Dr, Perry, FL 32347 | 2016-01-28 |
| 1184041741 | Pamela Sauls | Family Medicine | 315 E Ash St, Perry, FL 32347 | 2014-03-20 |
| 1356664924 | Jacqueline Bailey | Speech-Language Pathologist | 207 Marshall Dr, Perry, FL 32347 | 2010-03-10 |
| 1831511070 | Rebecca Carroll Wambolt | Speech-Language Pathologist | 1835 Oak Ridge Ln, Perry, FL 32347-0610 | 2014-01-07 |
| 1871130856 | Carestandard Corporation | Family Medicine | 688 A B Murphy Rd, Perry, FL 32347-0810 | 2019-12-09 |
| Find all providers in zip 32347 | ||||
| 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 |
|---|---|---|---|---|
| 1508959172 | Renal Treatment Centers Illinois Inc | Clinic/Center | 610 10th St Ste L100, Perry, IA 50220 | 2006-10-02 |
| 1922076108 | Central Georgia Dialysis LLC | Clinic/Center | 1027 Keith Dr, Perry, GA 31069 | 2006-03-14 |
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|---|---|---|---|---|
| 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.