J E T NEW ORLEANS EAST DIALYSIS LLC (NPI# 1043409402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043409402 |
| Entity Type | Organization |
| Organization Name | J E T NEW ORLEANS EAST DIALYSIS LLC |
| Other Organization Name | FLEUR DE LIS DIALYSIS |
| Practice Address |
5555 Bullard Ave Ste 110 New Orleans LA 70128-3457 |
| Mailing Address |
5200 Virginia Way Ste 400 L&c Brentwood TN 37027-7569 |
| Practice Telephone | 6153204218 |
| Mailing Telephone | 6153204218 |
| Mailing Fax Number | 3032097825 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |
| Authorized Official Name | THOMAS O USILTON JR. (SR VICE PRESIDENT) |
| Authorized Official Telephone | 7705417922 |
| 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 |
| Other Name | Type Code |
|---|---|
| Fleur de Lis Dialysis | Doing Business As Name - Organization |
| Street Address |
5555 BULLARD AVE STE 110 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70128-3457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861984890 | Germaine Ronkeith Jackson | Licensed Practical Nurse | 5555 Bullard Ave, New Orleans, LA 70128-3450 | 2018-06-05 |
| 1265799761 | Xtreme Physical Therapy East | Physical Therapist | 5555 Bullard Ave, Suite 102, New Orleans, LA 70128-3450 | 2012-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033699152 | Delreil L Sanders | Case Manager/Care Coordinator | 7615 Forum Blvd, New Orleans, LA 70128 | 2018-08-17 |
| 1790278513 | Jenenne Coulon | Counselor | 11730 Morrison Rd, New Orleans, LA 70128 | 2018-06-07 |
| 1528559069 | Daniel Do | Dentist | 1096 I-10 Service Road, New Orleans, LA 70128 | 2018-05-21 |
| 1235635327 | Burton Transit LLC | Non-emergency Medical Transport (VAN) | 39 E Blue Ridge Ct, New Orleans, LA 70128 | 2018-04-05 |
| 1346744299 | Joyce Williams | Counselor | 15018 Curran Rd, New Orleans, LA 70128 | 2018-03-23 |
| 1366945925 | Letoyal Green | Case Manager/Care Coordinator | 7921 Bullard Avenue, Suite 2c, New Orleans, LA 70128 | 2018-03-09 |
| 1417458712 | Ekco Carter | Case Manager/Care Coordinator | 7540 W Sandy Cove Dr, New Orleans, LA 70128 | 2018-02-22 |
| 1194248823 | Brittany Reed | Non-emergency Medical Transport (VAN) | 4933 Pentland Dr, New Orleans, LA 70128 | 2017-07-25 |
| 1487176855 | Premier Lane Transportation | Non-emergency Medical Transport (VAN) | 14730 Beekman Road, New Orleans, LA 70128 | 2017-07-07 |
| 1952849085 | Emmar Mayberry | Counselor | 7551 Anne Marie Ct, New Orleans, LA 70128 | 2017-02-09 |
| Find all providers in zip 70128 | ||||
| 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 |
|---|---|---|---|---|
| 1790263697 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 6101 Elysian Fields Ave, New Orleans, LA 70122-4209 | 2018-08-02 |
| 1629583281 | Bio-medical Applications Louisiana, LLC | Clinic/Center | 2500 Louisiana Ave, New Orleans, LA 70115-6036 | 2017-12-05 |
| 1750808762 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 2908 General Degaulle Dr, New Orleans, LA 70114-6440 | 2017-08-30 |
| 1265886550 | Elkhorn Dialysis, LLC | Clinic/Center | 7730 Earhart Blvd, New Orleans, LA 70125-2504 | 2016-04-22 |
| 1629436845 | Tetona Dialysis, LLC | Clinic/Center | 4720 Paris Ave, New Orleans, LA 70122-2553 | 2016-02-02 |
| 1689078347 | Fresenius Medical Care Lake Forest, LLC | Clinic/Center | 10545 Lake Forest Blvd, New Orleans, LA 70127-2708 | 2014-10-09 |
| 1629491923 | Total Renal Care Inc | Clinic/Center | 2924 General Degaulle Dr, New Orleans, LA 70114-6440 | 2014-01-23 |
| 1588090096 | Total Renal Care Inc | Clinic/Center | 2345 Saint Claude Ave, New Orleans, LA 70117-8352 | 2013-09-17 |
| 1518214725 | Total Renal Care Inc | Clinic/Center | 5646 Read Blvd Ste 150, New Orleans, LA 70127-3145 | 2012-08-07 |
| 1225227457 | Total Renal Care Inc | Clinic/Center | 3909 Bienville St Ste 1b, New Orleans, LA 70119-5151 | 2007-10-24 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70128 |
Please comment or provide details below to improve the information on J E T NEW ORLEANS EAST DIALYSIS LLC.
| 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.