ARA-SOUTH LABURNUM DIALYSIS LLC (NPI# 1093856643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093856643 |
| Entity Type | Organization |
| Organization Name | ARA-SOUTH LABURNUM DIALYSIS LLC |
| Practice Address |
4817 S Laburnum Ave Richmond VA 23231-2713 |
| Practice Telephone | 8042227718 |
| Practice Fax Number | 8042227719 |
| Mailing Telephone | 8042227718 |
| Mailing Fax Number | 8042227719 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | SHARI K COUSINS (SR. VP OF CLINICAL & REGULATORY) |
| Authorized Official Telephone | 9789223080 |
| 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 |
|---|---|---|---|
| VA | 1093856643 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | ARA-South Laburnum Dialysis LLC | 5 Cherry Hill Dr, Danvers, Massachusetts 01923 |
| Street Address |
4817 S LABURNUM AVE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23231-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524766 | Latoya Steward | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Admiral Gravely Blvd, Richmond, VA 23231 | 2020-10-07 |
| 1548721160 | Ray E Hill Jr. | Non-emergency Medical Transport (VAN) | 9469 Barrett Pl, Richmond, VA 23231 | 2019-03-27 |
| 1265922314 | Bon Secours - Richmond Community Hospital, Incorporated | Pediatrics | 4744 Finlay St, Richmond, VA 23231 | 2018-05-15 |
| 1225371743 | Vantage Point Community Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8005 Diamond Ridge Court, Henrico, VA 23231 | 2013-04-03 |
| 1255586277 | Bon Secours - Richmond Community Hospital, Incorporated | Clinic/Center | 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231 | 2008-11-18 |
| 1407050982 | Tawana Toneke Olds-davis | Counselor | 4305 Hillbrook Ave, Richmond, VA 23231 | 2007-06-11 |
| 1891814844 | East End Pediatrics, P.C. | Pediatrics | 4744 Finlay Street, Richmond, VA 23231 | 2007-03-29 |
| 1235229113 | Aunt Anns Home for Adolescents | Counselor | 5901 Almond Creek N Lane, Richmond, VA 23231 | 2006-10-13 |
| 1962500421 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5100 South Laburnum Ave Laburnum Sq, Richmond, VA 23231 | 2006-09-20 |
| 1043243546 | Bon Secours-virginia Healthsource | Family Medicine | 4835 S Laburnum Ave, Richmond, VA 23231 | 2006-07-08 |
| Find all providers in zip 23231 | ||||
| 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 |
|---|---|---|---|---|
| 1114475688 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 5802 Jefferson Davis Hwy, Richmond, VA 23234-2246 | 2016-09-14 |
| 1275992133 | Richmond Regional Dialysis LLC | Clinic/Center | 3384 Creighton Rd, Richmond, VA 23223-2618 | 2016-02-19 |
| 1578809315 | Pobello Dialysis LLC | Clinic/Center | 21026 W Bellfort St, Richmond, TX 77406-1685 | 2012-12-26 |
| 1417221185 | Westhampton Regional Dialysis Center LLC | Clinic/Center | 500 E Laburnum Ave, Suite 3, Richmond, VA 23222-2123 | 2012-02-28 |
| 1881965911 | Livingston Dialysis LLC | Clinic/Center | 4900 Forest Hill Ave, Richmond, VA 23225-3146 | 2012-01-20 |
| 1205135340 | Stewart Dialysis LLC | Clinic/Center | 4200 Macdonald Ave, Ste A, Richmond, CA 94805-2315 | 2011-03-15 |
| 1467556233 | West End Dialysis Center, Inc. | Clinic/Center | 1501 Santa Rosa Rd., Richmond, VA 23229-5110 | 2006-09-12 |
| 1629180435 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1036 Center Dr, Suite C, Richmond, KY 40475-3838 | 2006-08-31 |
| 1063524601 | Rai Care Centers of Virginia I, LLC | Clinic/Center | 800 W Leigh St, Suite B, Richmond, VA 23220-3136 | 2006-08-31 |
| 1619089414 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 910 Stonner Loop, Richmond, MO 64085-2229 | 2006-08-31 |
| Find all providers in RICHMOND | ||||
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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.