RENAL TREATMENT CENTERS ILLINOIS INC (NPI# 1154505188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154505188 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS ILLINOIS INC |
| Other Organization Name | ROCKSIDE DIALYSIS |
| Practice Address |
4801 Acorn Dr Independence OH 44131-2566 |
| Mailing Address |
5200 Virginia Way L & C Department Brentwood TN 37027-7569 |
| Practice Telephone | 2165250990 |
| Practice Fax Number | 2165253106 |
| Mailing Telephone | 6152383051 |
| Mailing Fax Number | 8002468346 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
|---|---|---|---|
| OH | 2891527 | 05 |
| Other Name | Type Code |
|---|---|
| Rockside Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780062802 | Renal Treatment Centers Illinois Inc | Clinic/Center | 27150 Providence Pkwy, Ste A, Novi, MI 48374-1272 | 2015-05-08 |
| 1508243882 | Renal Treatment Centers Illinois Inc | Clinic/Center | 6770 Dixie Hwy Ste 205, Clarkston, MI 48346-2089 | 2015-05-06 |
| 1568849826 | Renal Treatment Centers Illinois Inc | Clinic/Center | 21900 Melrose Ave Ste 4, Southfield, MI 48075-7967 | 2015-05-06 |
| 1659640522 | Renal Treatment Centers Illinois Inc | Clinic/Center | 610 S 13th St, Norfolk, NE 68701-4969 | 2011-12-22 |
| 1013294156 | Renal Treatment Centers Illinois Inc | Clinic/Center | 7454 N 30th St, Omaha, NE 68112-2722 | 2011-11-03 |
| 1760766984 | Renal Treatment Centers Illinois Inc | Clinic/Center | 6610 S 168th St, Ste 8, Omaha, NE 68135-5412 | 2011-10-06 |
| 1558590620 | Renal Treatment Centers Illinois Inc | Clinic/Center | 3749 Commercial Dr, Indianapolis, IN 46222-1676 | 2009-07-09 |
| 1558505636 | Renal Treatment Centers Illinois Inc | Clinic/Center | 220 10th St Sw, Waverly, IA 50677-2930 | 2009-04-21 |
| 1922269471 | Renal Treatment Centers Illinois Inc | Clinic/Center | 3877 E Galbraith Rd, Bldg C, Cincinnati, OH 45236-1514 | 2008-06-18 |
| 1215134259 | Renal Treatment Centers Illinois Inc | Clinic/Center | 2102 Vadalabene Dr Ste B, Maryville, IL 62062-5632 | 2007-07-02 |
| Street Address |
4801 ACORN DR |
| City | INDEPENDENCE |
| State | OH |
| Zip Code | 44131-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
| 1316404015 | Denise Ann Shannon | Licensed Practical Nurse | 4700 Rocksde Road, Suite 100, Independence, OH 44131 | 2019-02-28 |
| 1255898433 | Elizabeth Spence | Specialist/Technologist | 806 Tuxedo Ave, Brooklyn Hts, OH 44131 | 2019-02-25 |
| 1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
| 1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
| 1265810428 | Sarah Krakowiak | Speech-Language Pathologist | 3330 Wynde Tree Drive, Seven Hills, OH 44131 | 2015-05-08 |
| 1255732525 | Michelle Rioux-nivens | Nurse Practitioner | 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 | 2014-09-05 |
| Find all providers in zip 44131 | ||||
| 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 |
|---|---|---|---|---|
| 1265614093 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 19401 East 37th Terrace Court South, Suite 200, Independence, MO 64057-2321 | 2007-12-04 |
| 1023120821 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 1135 S Claremont Ave, Independence, MO 64054-1724 | 2006-08-31 |
| 1437118239 | Renal Treatment Centers West Inc | Clinic/Center | 801 W Myrtle St, Independence, KS 67301 | 2006-03-21 |
| 1861451924 | Renal Treatment Centers Southeast Lp | Clinic/Center | 12392 Highway 40 W, Independence, LA 70443-4813 | 2006-03-18 |
| 1477877108 | Renal Treatment Centers Illinois Inc | Clinic/Center | 1600 1st St E, Independence, IA 50644-3155 | 2010-03-24 |
| 1821222126 | Total Renal Care Illinois Inc | Clinic/Center | 1600 1st St E, Independence, IA 50644-3155 | 2009-05-14 |
| 1629269733 | Total Renal Care Inc | Clinic/Center | 19101 E Valley View Pkwy, Suite E, Independence, MO 64055-6907 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744616 | Akron Renal Care Group, LLC | Clinic/Center | 2583 Center Rd, Hinckley, OH 44233-9561 | 2020-09-11 |
| 1366057747 | Akron Renal Care Group, LLC | Clinic/Center | 9200 Staples Dr Ste A, Streetsboro, OH 44241-3950 | 2020-09-11 |
| 1518570886 | Independent Dialysis Group Northeast Ohio LLC | Clinic/Center | 48444 Bell School Rd Ste 4, Calcutta, OH 43920-9646 | 2020-08-26 |
| 1871106401 | Akron Renal Care Group, LLC | Clinic/Center | 401 Devon Pl Ste 100, Kent, OH 44240-6481 | 2020-08-24 |
| 1558985663 | Wyandot Dialysis Clinic LLC | Clinic/Center | 1207 E Wyandot Ave, Upper Sandusky, OH 43351-9647 | 2020-06-04 |
| 1245854876 | Concerto Ohio LLC | Clinic/Center | 2111 S Green Rd, South Euclid, OH 44121-3350 | 2020-05-29 |
| 1548899602 | Northeast Ohio Home Dialysis LLC | Clinic/Center | 2819 S Hayes Ave Ste 8, Sandusky, OH 44870-5391 | 2020-04-02 |
| 1982242954 | Center for Dialysis Care Beachwood Home Care LLC | Clinic/Center | 3755 Orange Pl Ste 103, Beachwood, OH 44122-4455 | 2019-12-20 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1912554486 | Usrc Tiffin, LLC | Clinic/Center | 100 Shaffer Park Dr Ste A, Tiffin, OH 44883-8536 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 44131 |
Please comment or provide details below to improve the information on RENAL TREATMENT CENTERS ILLINOIS INC.
| 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.