AT HOME DIALYSIS CORP (NPI# 1164801981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164801981 |
| Entity Type | Organization |
| Organization Name | AT HOME DIALYSIS CORP |
| Practice Address |
330 Roland Ave Owenton KY 40359-1502 |
| Mailing Address |
105 Ridgepointe Dr Cold Spring KY 41076-9091 |
| Practice Telephone | 8597574353 |
| Mailing Telephone | 8593602426 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-06-29 |
| Authorized Official Name | DR. DEEPAK MITTAL (MD) |
| Authorized Official Telephone | 8597574353 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | KY | Ambulatory Health Care Facilities |
| Street Address |
330 ROLAND AVE |
| City | OWENTON |
| State | KY |
| Zip Code | 40359-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760435309 | Owen Emergency Physicians | Emergency Medicine | 330 Roland Ave, Owenton, KY 40359-1502 | 2006-05-17 |
| 1700438751 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 330 Roland Ave, Owenton, KY 40359-1502 | 2019-07-10 |
| 1205309291 | Synergy Healthcare, Psc | Internal Medicine | 330 Roland Ave, Owenton, KY 40359-1502 | 2019-01-02 |
| 1114125671 | Acute Care Billing Ky, LLC | Emergency Medicine | 330 Roland Ave, Owenton, KY 40359-1502 | 2007-07-06 |
| 1407952138 | Janet Poe Wright | Pharmacist | 330 Roland Ave, Owenton, KY 40359-1502 | 2006-09-16 |
| 1083627228 | Bernard T Poe | Pharmacist | 330 Roland Ave, Owenton, KY 40359-1502 | 2006-08-15 |
| 1215955042 | Muhammad Qureshi | Emergency Medicine | 330 Roland Ave, Owenton, KY 40359-1502 | 2006-07-18 |
| 1730108176 | Earlene Barker | General Acute Care Hospital | 330 Roland Ave, Owenton, KY 40359-1502 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649889932 | Hannah Rose Wilson Gibbs | Nurse Practitioner | 326 Roland Avenue, Owenton, KY 40359 | 2020-07-23 |
| 1811452592 | Blaine A Sims | Physical Therapy Assistant | Hwy 127 N, Owenton, Owen, KY 40359 | 2019-02-06 |
| 1619127628 | Mary Overberg | Counselor | 155 Seminary Road, Owenton, KY 40359 | 2008-09-26 |
| 1679773139 | Three Rivers District Health Department | Public Health or Welfare | 2340 Hwy 22 E, Owenton, KY 40359 | 2007-07-23 |
| 1710021167 | Rhnea C Taylor | Dentist | 1005 Hwy 22 East, Owenton, KY 40359 | 2007-02-19 |
| 1699842047 | Joy Charlene Arnold Morse | Dentist | 116 N Madison St, Owenton, KY 40359 | 2006-11-29 |
| 1336188655 | Melissa Sue Proctor | Social Worker | 327 North Main Park Shopping Center, Owenton, KY 40359 | 2006-06-05 |
| 1467419283 | Owen County Fiscal Court | Ambulance | 208 East Blanton Street, Owenton, KY 40359 | 2006-04-26 |
| 1568835841 | Coast To Coast Physical Therapy, LLC | Clinic/Center | 324 Main Street, Suite 5 & 6, Owenton, KY 40359 | 2015-11-09 |
| 1700060639 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 119 W Seminary St, Owenton, KY 40359 | 2007-12-27 |
| Find all providers in zip 40359 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150712 | Big Sandy Health Care Inc | Clinic/Center | 194 Beriah Blvd, Salyersville, KY 41465 | 2020-10-08 |
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1346714615 | Good Doctor | Clinic/Center | 9405 Us Highway 235, Stanville, KY 41659-9048 | 2019-01-19 |
| 1083192595 | Carson Black Lung Center of Pineville, Inc. | Clinic/Center | 820 Robert L. Maddon Bypass Third Fl, Pineville, KY 40977-1452 | 2018-08-06 |
| 1730665886 | William Shea | Clinic/Center | 149 Moore Dr, Lexington, KY 40503-2918 | 2018-07-12 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1245747674 | Phaup Chiropractic Center, LLC | Clinic/Center | 95 Ymca Dr Ste A, Madisonville, KY 42431-9035 | 2018-01-08 |
| 1235644287 | First Care Chiropractic Center Psc | Clinic/Center | 5057 Poplar Level Rd Ste 7, Louisville, KY 40219-1129 | 2017-12-12 |
| 1740717818 | Jones-o'neal Enterprises, Pllc | Clinic/Center | 135 Morgan St, Versailles, KY 40383-1428 | 2017-05-18 |
| 1467993709 | Ky Pt Pllc | Clinic/Center | 5520 Fern Valley Rd Ste 108, Louisville, KY 40228-1088 | 2017-03-20 |
| Find all providers with the same taxonomy | ||||
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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.