HILLIARD DIALYSIS CENTER LLC


Address: 551858 Us Highway 1, Suite 118, Hilliard, FL 32046-8822
Phone: 9048452612

HILLIARD DIALYSIS CENTER LLC (NPI# 1134144959) 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) 1134144959
Entity Type Organization
Organization Name HILLIARD DIALYSIS CENTER LLC
Practice Address 551858 Us Highway 1
Suite 118
Hilliard
FL 32046-8822
Practice Telephone 9048452612
Practice Fax Number 9048452614
Mailing Telephone 9048452612
Mailing Fax Number 9048452614
Enumeration Date 2006-07-13
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

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 891398600 05

Office Location

Street Address 551858 US HIGHWAY 1
SUITE 118
City HILLIARD
State FL
Zip Code 32046-8822

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NPI Name Taxonomy Address Enumeration
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1508259920 Michael Amer Nackashi Case Management 551856 Us Hwy 1, Hilliard, FL 32046 2015-03-10
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1073969077 Galleon Homecare Services, Inc. Clinic/Center 552382 Us Highway 1, Hilliard, FL 32046-2328 2016-05-09
1922346204 Dayspring Village, Inc. Assisted Living Facility 554820 Us Highway 1, Hilliard, FL 32046-2846 2013-01-22
1841751070 Dayspring Village, Inc. Clinical Medical Laboratory 554820 Us Highway 1, Hilliard, FL 32046-2846 2019-03-29
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1801207360 George Weldon Lewis Veterinarian 4842 Absolute Dr, Hilliard, FL 32046-6314 2014-05-17
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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...

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1124640263 Arc Dialysis Westchester LLC Clinic/Center 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 2020-05-12
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Competitor

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City HILLIARD
Zip Code 32046

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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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