EVERGLADES DIALYSIS LLC


Address: 125 E Michigan Ave, Grayling, MI 49738-1740
Phone: 9893440805

EVERGLADES DIALYSIS LLC (NPI# 1043552805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043552805
Entity Type Organization
Organization Name EVERGLADES DIALYSIS LLC
Other Organization Name GRAYLING HOME TRAINING
Practice Address 125 E Michigan Ave
Grayling
MI 49738-1740
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 9893440805
Practice Fax Number 9893440785
Mailing Telephone 6153204514
Mailing Fax Number 8665949961
Enumeration Date 2013-03-20
Last Update Date 2020-01-20
Authorized Official Name JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334500
Is Organization Subpart N

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
MI 1043552805 05

Other Provider/Organization Names

Other Name Type Code
Grayling Home Training Doing Business As Name - Organization

Office Location

Street Address 125 E MICHIGAN AVE
City GRAYLING
State MI
Zip Code 49738-1740

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699275750 Munson Healthcare Grayling Psychologist 1200 W North Down River Rd., Suite C, Grayling, MI 49738 2018-02-15
1922543073 Autumn Book Assistant Behavior Analyst 6720 Tomahawk Trl, Grayling, MI 49738 2016-12-28
1942756796 Kaitlyn A Smith Pharmacist 2425 S. Grayling Ave., Grayling, MI 49738 2016-08-31
1629484290 Northern Michigan Endocrine Pllc Clinic/Center 1200 West North Down River Rd, Suite B, Grayling, MI 49738 2014-07-03
1033533427 Krista Mohr Nurse Anesthetist, Certified Registered 1100 East Michigan Ave, Mercy Hospital- Grayling, Grayling, MI 49738 2014-02-06
1295034296 Tomlin Capps Rosi Surgery 1250 E. Michigan Ave, Suite D, Grayling, MI 49738 2011-03-17
1265754667 Pamela Birtcher Fisher Counselor 204 Meadows Drive, Grayling, MI 49738 2010-02-26
1942478797 Marilyn L Rosi Nurse Practitioner 1010 W. North Down River Road, Grayling, MI 49738 2008-02-14
1558557454 Jeffrey K Chaulk Md PC Optometrist 1200 N Down River Rd, Grayling, MI 49738 2007-09-25
1528288784 G.r.a.c.e. Center Counselor 6459 West M-72, Grayling, MI 49738 2007-04-27
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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1386262350 Delta Renal Care Pllc Clinic/Center 3981 Elizabeth Ave, Canton, MI 48188-7223 2020-07-07
1457973257 Fms Owosso, LLC Clinic/Center 918 Corunna Ave, Owosso, MI 48867-3768 2020-05-14
1023650926 Falmont Dialysis LLC Clinic/Center 37290 5 Mile Rd, Livonia, MI 48154-1848 2019-10-11
1487112942 Michigan Dialysis Services, LLC Clinic/Center 275 N Canton Center Rd, Canton, MI 48187 2019-03-04
1487123600 Concerto Michigan LLC Clinic/Center 14700 Farmington Rd Ste 108, Livonia, MI 48154-5462 2018-11-16
1245715291 Brooksprings Dialysis, LLC Clinic/Center 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 2018-09-26
1851886592 Fms Rochester Hills, LLC Clinic/Center 26400 W 12 Mile Rd Ste 112, Southfield, MI 48034-1785 2018-06-26
1801399753 Kasaskia Dialysis LLC Clinic/Center 18001 E 10 Mile Rd Ste B, Roseville, MI 48066-3803 2018-03-16
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Competitor

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City GRAYLING
Zip Code 49738

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Dataset Information

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.

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