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).
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 |
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 |
---|---|---|---|
MI | 1043552805 | 05 |
Other Name | Type Code |
---|---|
Grayling Home Training | Doing Business As Name - Organization |
Street Address |
125 E MICHIGAN AVE |
City | GRAYLING |
State | MI |
Zip Code | 49738-1740 |
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 |
Find all providers in zip 49738 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
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1801497961 | Saint Marina Home Dialysis LLC | Clinic/Center | 26711 Northwestern Hwy Ste 125, Southfield, MI 48033-2170 | 2020-11-05 |
1144820226 | Heritage Home Dialysis LLC | Clinic/Center | 1580 N Leroy St Ste 6, Fenton, MI 48430-2801 | 2020-10-28 |
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 |
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.