DVA HEALTHCARE RENAL CARE INC (NPI# 1154398279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154398279 |
Entity Type | Organization |
Organization Name | DVA HEALTHCARE RENAL CARE INC |
Other Organization Name | LEHIGH ACRES DIALYSIS |
Practice Address |
2814 Lee Blvd Ste 16 Lehigh Acres FL 33971-1561 |
Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
Practice Telephone | 2393687169 |
Practice Fax Number | 2393687541 |
Mailing Telephone | 6153204593 |
Mailing Fax Number | 8002935872 |
Enumeration Date | 2006-03-07 |
Last Update Date | 2018-10-05 |
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 | 200518209 | 05 |
Other Name | Type Code |
---|---|
Lehigh Acres Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831690098 | Dva Healthcare Renal Care Inc | Clinic/Center | 3901 N Roxboro St Ste 108, Durham, NC 27704-2181 | 2018-02-23 |
1639695984 | Dva Healthcare Renal Care Inc | Clinic/Center | 209 Nc Highway 111 S, Goldsboro, NC 27534-9253 | 2017-08-18 |
1710351531 | Dva Healthcare Renal Care Inc | Clinic/Center | 101 Davita Ln, Elizabeth City, NC 27909-3314 | 2015-11-17 |
1851769848 | Dva Healthcare Renal Care Inc | Clinic/Center | 9622 Kincey Ave, Huntersville, NC 28078-9140 | 2015-09-08 |
1447643408 | Dva Healthcare Renal Care Inc | Clinic/Center | 1274 Ruin Creek Road, Henderson, NC 27537-4168 | 2015-03-13 |
1205116167 | Dva Healthcare Renal Care Inc | Clinic/Center | 11308 Hawthorne Dr, Mint Hill, NC 28227-9300 | 2011-08-24 |
1932363744 | Dva Healthcare Renal Care Inc | Clinic/Center | 7260 E Marshville Blvd, Marshville, NC 28103-1191 | 2008-07-11 |
1689868739 | Dva Healthcare Renal Care Inc | Clinic/Center | 6620 Old Statesville Rd, Charlotte, NC 28269-6768 | 2007-08-31 |
1700815487 | Dva Healthcare Renal Care Inc | Clinic/Center | 3053 State Route 35, Ste 201, Hazlet, NJ 07730-1526 | 2006-07-03 |
1508895632 | Dva Healthcare Renal Care Inc | Clinic/Center | 1164 E Route 130, Burlington, NJ 08016-2954 | 2006-07-01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | DVA HEALTHCARE RENAL CARE INC. | 2000 16th St, Jld/Secgovfin, Denver, Colorado 80202-5117 |
Street Address |
2814 LEE BLVD STE 16 |
City | LEHIGH ACRES |
State | FL |
Zip Code | 33971-1561 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275521619 | Dolores Yamila Delgado | Internal Medicine | 2814 Lee Blvd, Suite 15, Lehigh Acres, FL 33971-1567 | 2005-10-10 |
1639500275 | Univv Inc | Pharmacy | 2814 Lee Blvd, Unit-1, Lehigh Acres, FL 33971-1567 | 2013-12-09 |
1982887550 | Gordon J Kleinpell Dpm Pa | Podiatrist | 2814 Lee Blvd, Suite 2, Lehigh Acres, FL 33971-1567 | 2007-12-06 |
1881883676 | West Florida Eye Inc | Clinic/Center | 2814 Lee Blvd, Ste 3, Lehigh Acres, FL 33971-1542 | 2007-10-17 |
1134181159 | Habib A Azizi | Optometrist | 2814 Lee Blvd, Ste 3, Lehigh Acres, FL 33971-1542 | 2006-04-05 |
1003890054 | Gordon J Kleinpell | Podiatrist | 2814 Lee Blvd, Suite 2, Lehigh Acres, FL 33971-1567 | 2005-12-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285248096 | Katie L Kozlowski | Behavior Technician | 5220 Lee Boulevard, Bldg 6, Lehigh Acres, FL 33971 | 2020-08-31 |
1548821481 | Rosario Assisted Living Facility, Inc | Assisted Living Facility | 2616 22nd St W, Lehigh Acres, FL 33971 | 2019-06-21 |
1790340362 | Delia Hernandez | Behavior Technician | 2519 39th Street West, Lehigh Acres, FL 33971 | 2019-05-08 |
1669981122 | Ana Claudia Dormann | Specialist/Technologist | 5598 8th St West, Unit 3, Lehigh Acres, FL 33971 | 2017-09-27 |
1871803551 | The Joan of Arc Corporation | Day Training, Developmentally Disabled Services | 2618 44th Street West, Lehigh Acres, FL 33971 | 2010-10-15 |
1396970737 | Total Renal Care Inc | Clinic/Center | 5705 Lee Blvd Ste 16, Lehigh Acres, FL 33971 | 2009-05-28 |
1700039658 | Friendly Group Home Inc. | Day Training, Developmentally Disabled Services | 2602 50th Street West, Lehigh Acres, FL 33971 | 2008-10-23 |
1336266485 | Marjorie St.germain | Social Worker | 3709 9th Street Sw, Lehigh Acres, FL 33971 | 2007-03-23 |
1194841767 | Stanley Paul Blair | Dentist | 3003 Lee Blvd, Lehigh Acres, FL 33971 | 2007-03-22 |
1770652711 | Alan E Spinner | Chiropractor | 2718 Lee Boulevard, Suite C, Lehigh Acres, FL 33971 | 2006-11-06 |
Find all providers in zip 33971 |
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 |
---|---|---|---|---|
1396970737 | Total Renal Care Inc | Clinic/Center | 5705 Lee Blvd Ste 16, Lehigh Acres, FL 33971 | 2009-05-28 |
1366687055 | Lehigh Acres Dialysis Center LLC | Clinic/Center | 3227 Lee Blvd, Unit A, Lehigh Acres, FL 33971-1428 | 2008-12-09 |
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 |
Find all providers with the same taxonomy |
City | LEHIGH ACRES |
Zip Code | 33971 |
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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.