DVA RENAL HEALTHCARE, INC.


Address: 2235 S Babcock St, Melbourne, FL 32901
Phone: 3219566252

DVA RENAL HEALTHCARE, INC. (NPI# 1104893221) 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) 1104893221
Entity Type Organization
Organization Name DVA RENAL HEALTHCARE, INC.
Other Organization Name MELBOURNE DIALYSIS
Practice Address 2235 S Babcock St
Melbourne
FL 32901
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 3219566252
Practice Fax Number 3219566464
Mailing Telephone 6152383027
Mailing Fax Number 6153204487
Enumeration Date 2006-03-07
Last Update Date 2018-06-22
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
FL 890569000 05

Other Provider/Organization Names

Other Name Type Code
Melbourne Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1346752607 Dva Renal Healthcare, Inc. Clinic/Center 191 Se Railroad St, Sharpsburg, NC 27878 2017-10-26
1053375030 Dva Renal Healthcare, Inc. Clinic/Center 15225 Carrollton Blvd, Carrollton, VA 23314-2303 2006-04-14
1083678320 Dva Renal Healthcare, Inc. Clinic/Center 5150 Duke St, Alexandria, VA 22304-2906 2006-04-13
1649233222 Dva Renal Healthcare, Inc. Clinic/Center 835 Smithville Hwy, #15, Mc Minnville, TN 37110-1669 2006-04-06
1235199076 Dva Renal Healthcare, Inc. Clinic/Center 2307 S Mount Prospect Rd, Des Plaines, IL 60018-1811 2006-03-24
1417926486 Dva Renal Healthcare, Inc. Clinic/Center 1741 Commerce Dr Nw Ste 405, Atlanta, GA 30318-3107 2006-03-14
1801864145 Dva Renal Healthcare, Inc. Clinic/Center 2850 34th St S, Saint Petersburg, FL 33711-3817 2006-03-11
1891763132 Dva Renal Healthcare, Inc. Clinic/Center 2410 S Adams St, Tallahassee, FL 32301-6325 2006-03-11
1326016130 Dva Renal Healthcare, Inc. Clinic/Center 661 9th St N, Naples, FL 34102-8132 2006-03-08
1245208057 Dva Renal Healthcare, Inc. Clinic/Center 860 Ne 125th St, North Miami, FL 33161-5743 2006-03-08

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names DVA RENAL HEALTHCARE, INC. Jld/secgovfin, 2000 16th Street, Denver, CO 80202
Washington State Corporations DVA RENAL HEALTHCARE, INC. Jld/secgovfin 2000 16th Street, Denver, CO 80202
Vermont Business Registrations DVA RENAL HEALTHCARE, INC. Jld/secgovfin, 2000 16th Street, Denver, CO 80202
Iowa Business Entities DVA RENAL HEALTHCARE, INC. Jldsecgovfin 2000 16th Street, Denver, CO 80202
Oklahoma Business Registrations DVA RENAL HEALTHCARE, INC. 601 Hawaii St, El Segundo, CA 90245
Massachusetts Corporations DVA RENAL HEALTHCARE, INC. 2000 16th Street, Denver, CO 80202

Office Location

Street Address 2235 S BABCOCK ST
City MELBOURNE
State FL
Zip Code 32901

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467062943 George Pappas Anesthesiologist Assistant 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 2020-08-09
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
1740766021 Amanda Miller Behavior Technician 1885 W Hibiscus Blvd, Melbourne, FL 32901 2018-07-19
1396244406 Dragen II LLC Urology 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 2018-02-03
1225550692 Cabrit Psychotherapy Services LLC Marriage & Family Therapist 100 Rialto Place, Suite 700, Melbourne, FL 32901 2017-07-07
1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
1467804278 Nickolas Hetherington Occupational Therapist 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 2016-07-05
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821380593 Bio-medical Applications of Florida Inc. Clinic/Center 2200 W Eau Gallie Blvd Ste 202a, Melbourne, FL 32935-3166 2011-05-12
1891807640 Brevard County Dialysis, LLC Clinic/Center 1355 Palm Bay Rd, Melbourne, FL 32905-3838 2006-08-31
1578569109 Central Florida Kidney Centers Inc Clinic/Center 14 Suntree Pl, Ste 102, Melbourne, FL 32940-7605 2005-06-28
1104823731 Melbourne Kidney Center Inc Clinic/Center 280 N Wickham Rd, Melbourne, FL 32935-8650 2005-06-28
1245236876 Central Florida Kidney Centers Inc Clinic/Center 1400 S Apollo Blvd, Melbourne, FL 32901-3145 2005-06-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801496104 Kidney Care Center of Winter Haven LLC Clinic/Center 1107 3rd St Sw Ste 9, Winter Haven, FL 33880-3912 2020-10-27
1538773411 5072020, LLC Clinic/Center 2675 Winkler Ave Ste 130, Fort Myers, FL 33901-9362 2020-09-08
1750992814 Swain Dialysis Renal Center Clinic/Center 1923 Nw 43rd St, Miami, FL 33142-4777 2020-08-12
1396355525 Kidney Partners Coral Gables LLC Clinic/Center 835 Sw 37th Ave, Miami, FL 33135-4289 2020-08-03
1427668870 Dialysis Spa, LLC Clinic/Center 2040 Ne 163rd St Ste 206, North Miami Beach, FL 33162-4953 2020-07-31
1285250522 Fresenius Medical Care Casselberry, LLC Clinic/Center 775 Gateway Dr Ste 1010, Altamonte Springs, FL 32714-1524 2020-06-23
1992321244 Fresenius Medical Care Casselberry, LLC Clinic/Center 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 2020-06-23
1023630886 Fresenius Medical Care Apollo Beach, LLC Clinic/Center 3002 E College Ave, Ruskin, FL 33570-5220 2020-05-14
1124640263 Arc Dialysis Westchester LLC Clinic/Center 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 2020-05-12
1487274734 Bio-medical Applications of Florida, Inc. Clinic/Center 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 2020-04-16
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Competitor

Search similar providers

City MELBOURNE
Zip Code 32901

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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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