RENAL TREATMENT CENTERS ILLINOIS INC (NPI# 1013294156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013294156 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS ILLINOIS INC |
| Other Organization Name | OMAHA FLORENCE DIALYSIS |
| Practice Address |
7454 N 30th St Omaha NE 68112-2722 |
| Mailing Address |
5200 Virginia Way L & C Dept. Brentwood TN 37027-7569 |
| Practice Telephone | 4024510723 |
| Practice Fax Number | 4024530228 |
| Mailing Telephone | 6153204514 |
| Mailing Fax Number | 8665949961 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2020-08-27 |
| 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 |
|---|---|---|---|
| NE | 10026268500 | 05 |
| Other Name | Type Code |
|---|---|
| Omaha Florence Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780062802 | Renal Treatment Centers Illinois Inc | Clinic/Center | 27150 Providence Pkwy, Ste A, Novi, MI 48374-1272 | 2015-05-08 |
| 1508243882 | Renal Treatment Centers Illinois Inc | Clinic/Center | 6770 Dixie Hwy Ste 205, Clarkston, MI 48346-2089 | 2015-05-06 |
| 1568849826 | Renal Treatment Centers Illinois Inc | Clinic/Center | 21900 Melrose Ave Ste 4, Southfield, MI 48075-7967 | 2015-05-06 |
| 1659640522 | Renal Treatment Centers Illinois Inc | Clinic/Center | 610 S 13th St, Norfolk, NE 68701-4969 | 2011-12-22 |
| 1760766984 | Renal Treatment Centers Illinois Inc | Clinic/Center | 6610 S 168th St, Ste 8, Omaha, NE 68135-5412 | 2011-10-06 |
| 1558590620 | Renal Treatment Centers Illinois Inc | Clinic/Center | 3749 Commercial Dr, Indianapolis, IN 46222-1676 | 2009-07-09 |
| 1558505636 | Renal Treatment Centers Illinois Inc | Clinic/Center | 220 10th St Sw, Waverly, IA 50677-2930 | 2009-04-21 |
| 1922269471 | Renal Treatment Centers Illinois Inc | Clinic/Center | 3877 E Galbraith Rd, Bldg C, Cincinnati, OH 45236-1514 | 2008-06-18 |
| 1154505188 | Renal Treatment Centers Illinois Inc | Clinic/Center | 4801 Acorn Dr, Independence, OH 44131-2566 | 2007-12-27 |
| 1215134259 | Renal Treatment Centers Illinois Inc | Clinic/Center | 2102 Vadalabene Dr Ste B, Maryville, IL 62062-5632 | 2007-07-02 |
| Street Address |
7454 N 30TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68112-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881844017 | Ltc Healthcare At Florence, Inc. | Skilled Nursing Facility | 3110 Scott Circle, Omaha, NE 68112 | 2008-09-24 |
| 1780614156 | Shirley Lynn Miller | Pediatrics | 55 Mdg, 2501 Capehart Rd, Offutt Afb, NE 68112 | 2006-07-03 |
| 1083655435 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 7312 N 30th St, Omaha, NE 68112 | 2006-06-09 |
| 1841798477 | Hinners Geriatric Medicine, LLC | Internal Medicine | 7915 N 30th St, Omaha, NE 68112 | 2018-01-29 |
| 1619143591 | Kimberly Gene Krajewski Clark | Counselor | 6720 N 30th St, Heartland Family Service, Omaha, NE 68112 | 2008-05-01 |
| 1992864045 | Heartland Family Service | Clinic/Center | 6720 N 30th St, Omaha, NE 68112 | 2006-12-06 |
| 1073927885 | Jordan Hodges | Physical Therapy Assistant | 12502 Ponca Rd, Omaha, NE 68112-1028 | 2014-06-19 |
| 1962589762 | Ponca Hills Volunteer Fire Department | Ambulance | 12919 Ponca Rd, Omaha, NE 68112-1056 | 2006-11-01 |
| 1942676648 | Ponca Hills Fire District | Ambulance | 12919 Ponca Rd, Omaha, NE 68112-1056 | 2015-08-17 |
| 1043851926 | Home Speech LLC | Speech-Language Pathologist | 11317 N Post Rd, Omaha, NE 68112-1218 | 2019-10-02 |
| Find all providers in zip 68112 | ||||
| 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 |
|---|---|---|---|---|
| 1932644127 | Renal Care Group of The Midwest, Inc. | Clinic/Center | 15801 West Dodge Road, Omaha, NE 68118 | 2016-12-27 |
| 1598006611 | Rai Care Centers of Nebraska II LLC | Clinic/Center | 2916 S 84th St, Omaha, NE 68124-3213 | 2013-03-14 |
| 1760766984 | Renal Treatment Centers Illinois Inc | Clinic/Center | 6610 S 168th St, Ste 8, Omaha, NE 68135-5412 | 2011-10-06 |
| 1295829869 | Rai Care Centers of Nebraska II, LLC | Clinic/Center | 5084 Ames Ave., Omaha, NE 68104-2323 | 2006-10-03 |
| 1295829877 | Rai Care Centers of Nebraska II, LLC | Clinic/Center | 4411 Center Street, Suite A, Omaha, NE 68105-2696 | 2006-10-03 |
| 1366475741 | Dialysis Clinic Inc. | Clinic/Center | 3316 Dodge St, Omaha, NE 68131-3403 | 2006-07-08 |
| 1609809086 | Dialysis Clinic Inc. | Clinic/Center | 3015 N 118th Cir, Omaha, NE 68164-3685 | 2006-07-08 |
| 1750343109 | Dva Renal Healthcare Inc | Clinic/Center | 3339 L St, Omaha, NE 68107-2500 | 2006-04-03 |
| 1891757233 | Dva Renal Healthcare Inc | Clinic/Center | 144 S 40th St, Omaha, NE 68131-3004 | 2006-04-03 |
| 1699737049 | Dva Renal Healthcare Inc | Clinic/Center | 6212 N 73rd Plz, Ste 100, Omaha, NE 68134-1801 | 2006-04-03 |
| Find all providers in OMAHA | ||||
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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.