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).
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 |
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 |
---|---|---|---|
FL | 890569000 | 05 |
Other Name | Type Code |
---|---|
Melbourne Dialysis | Doing Business As Name - Organization |
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 |
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 |
Street Address |
2235 S BABCOCK ST |
City | MELBOURNE |
State | FL |
Zip Code | 32901 |
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 |
Find all providers in zip 32901 |
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 |
---|---|---|---|---|
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 |
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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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.