ARA-SOUTH BOCA RATON DIALYSIS LLC (NPI# 1114959186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114959186 |
| Entity Type | Organization |
| Organization Name | ARA-SOUTH BOCA RATON DIALYSIS LLC |
| Other Organization Name | CONVALESCENT RENAL CARE OF SOUTH FLORIDA |
| Practice Address |
7300 Del Prado Cir S Boca Raton FL 33433-3386 |
| Mailing Address |
66 Cherry Hill Dr Suite 200 Beverly MA 01915-1054 |
| Practice Telephone | 5614162039 |
| Practice Fax Number | 5614165756 |
| Mailing Telephone | 9789223080 |
| Mailing Fax Number | 9789223085 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CHRISTOPHER T FORD (PRESIDENT/CEO) |
| 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 |
| Other Name | Type Code |
|---|---|
| Convalescent Renal Care of South Florida | Doing Business As Name - Organization |
| Street Address |
7300 DEL PRADO CIR S |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33433-3386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831187350 | Whitehall Boca | Skilled Nursing Facility | 7300 Del Prado Cir S, Boca Raton, FL 33433-3386 | 2005-10-10 |
| 1578194452 | Progressive Care Medical Group of Fl, LLC | Skilled Nursing Facility | 7300 Del Prado Cir S, Boca Raton, FL 33433-3386 | 2020-01-30 |
| 1609363084 | Jessica Lynne Priest | Nurse Practitioner | 7300 Del Prado Cir S, Boca Raton, FL 33433-3386 | 2018-04-20 |
| 1851804249 | The Encore At Boca Raton Rehabilitation and Nursing Center | Nursing Facility/Intermediate Care Facility | 7300 Del Prado Cir S, Boca Raton, FL 33433-3386 | 2017-11-08 |
| 1710324413 | Whitehall Opco, LLC | Skilled Nursing Facility | 7300 Del Prado Cir S, Boca Raton, FL 33433 | 2013-06-04 |
| 1497009336 | Whitehall of Boca Raton, LLC | Skilled Nursing Facility | 7300 Del Prado Cir S, Boca Raton, FL 33433-3386 | 2012-10-30 |
| 1508131301 | Valentyn Tyulmenkov LLC | Internal Medicine | 7300 Del Prado Cir S, Boca Raton, FL 33433-3386 | 2012-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830785 | Keith Marley Thompson | Behavior Technician | 6885 B-5 Sw 18th St., Boca Raton, FL 33433 | 2020-10-26 |
| 1467084921 | Jessica Lori Woytanowski | Speech-Language Pathologist | 21345 Powerline Rd, Boca Raton, FL 33433 | 2020-02-12 |
| 1497387211 | Nida Aziz | Psychologist | 6885 B-5 Sw 18th St, Boca Raton, FL 33433 | 2020-02-10 |
| 1124667993 | Melanie Simon | Occupational Therapist | 21345 South Powerline Rd, Suite 100, Boca Raton, FL 33433 | 2019-12-27 |
| 1386288629 | Lisheyna S Hurvitz | Counselor | 22715 Camino Del Mar, # 35, Boca Raton, FL 33433 | 2019-10-30 |
| 1982253076 | Monika La Nuez, Lcsw, LLC | Social Worker | 6919 Sw 18th Street, Suite 200-239, Boca Raton, FL 33433 | 2019-09-10 |
| 1336795731 | United Spectrum Center | Day Training, Developmentally Disabled Services | 3845 West Hillsboro Blvd, Deefield Beach, FL 33433 | 2019-08-13 |
| 1780147678 | Teleemc LLC | Clinic/Center | 21346 St. Andrews Blvd., Suite 195, Boca Raton, FL 33433 | 2019-04-09 |
| 1619446283 | Meryl Zigila | Occupational Therapist | 6327 Via De Sunrisa Del Sur, Boca Raton, FL 33433 | 2018-11-13 |
| 1730665522 | Prissy Graciela Rampaly Rangel | Physician Assistant | 23090 Post Gardens Way Apt 307, Boca Raton, FL 33433 | 2018-07-14 |
| Find all providers in zip 33433 | ||||
| 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 |
|---|---|---|---|---|
| 1659917508 | R&r Health Group LLC | Clinic/Center | 9060 Kimberly Blvd Ste 32-35, Boca Raton, FL 33434-2842 | 2019-11-25 |
| 1578048229 | Boca Raton Medical Care LLC | Clinic/Center | 500 Ne Spanish River Blvd # 32c, Boca Raton, FL 33431-4515 | 2018-09-28 |
| 1891178034 | Imperial Medical Care LLC | Clinic/Center | 1717 Costa Del Sol, Boca Raton, FL 33432-1746 | 2015-07-07 |
| 1871748087 | Total Renal Care Inc | Clinic/Center | 2900 N Military Trl Ste 195, Boca Raton, FL 33431-6308 | 2008-12-02 |
| 1518079375 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 19801 Hampton Dr, Boca Raton, FL 33434-2840 | 2006-08-31 |
| 1619944204 | Total Renal Care Inc | Clinic/Center | 998 Nw 9th Ct, Boca Raton, FL 33486-2214 | 2006-03-02 |
| 1588065510 | Dialyze Direct Fl LLC | Clinic/Center | 1601 Clint Moore Rd, Suite 160, Boca Raton, FL 33487-2768 | 2014-09-09 |
| 1669747655 | Sands Dialysis LLC | Clinic/Center | 998 Nw 9th Ct, Boca Raton, FL 33486-2214 | 2012-03-09 |
| 1750660247 | Crown Dialysis Center of Palm Beach LLC | Clinic/Center | 4701 N Federal Hwy, Boca Raton, FL 33431-5135 | 2011-08-15 |
| 1356371132 | Ara-boca Raton Dialysis LLC | Clinic/Center | 1905 Clint Moore Rd, Suite 211, Boca Raton, FL 33496-2659 | 2006-07-04 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33433 |
Please comment or provide details below to improve the information on ARA-SOUTH BOCA RATON DIALYSIS LLC.
| 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.