KINGSTON DIALYSIS LLC


Address: 1750 Pierce St Ste A, Lakewood, CO 80214
Phone: 3032320939

KINGSTON DIALYSIS LLC (NPI# 1164890604) 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) 1164890604
Entity Type Organization
Organization Name KINGSTON DIALYSIS LLC
Other Organization Name MILE HIGH HOME DIALYSIS
Practice Address 1750 Pierce St Ste A
Lakewood
CO 80214
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 3032320939
Practice Fax Number 3032746096
Mailing Telephone 6153416264
Mailing Fax Number 8002972925
Enumeration Date 2015-09-14
Last Update Date 2020-08-19
Authorized Official Name JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334501
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
12R950 CO Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO 36032395 05

Other Provider/Organization Names

Other Name Type Code
Mile High Home Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1891162301 Kingston Dialysis LLC Clinic/Center 2880 Folsom St Ste 110, Boulder, CO 80304 2015-09-01
1164899670 Kingston Dialysis LLC Clinic/Center 9950 W 80th Ave Ste 25, Arvada, CO 80005 2015-09-01
1679940324 Kingston Dialysis LLC Clinic/Center 1750 Pierce St Ste C, Lakewood, CO 80214-1434 2015-08-28
1740657402 Kingston Dialysis LLC Clinic/Center 1715 Iron Horse Dr Ste 170, Longmont, CO 80501 2015-08-28
1922475672 Kingston Dialysis LLC Clinic/Center 1057 S Wadsworth Blvd Ste 100, Lakewood, CO 80226 2015-08-28
1386012268 Kingston Dialysis LLC Clinic/Center 8800 Fox Dr, Thornton, CO 80260 2015-09-09

Office Location

Street Address 1750 PIERCE ST STE A
City LAKEWOOD
State CO
Zip Code 80214

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982266128 Audra Perez Social Worker 1750 Pierce Street Suite C, Lakewood, CO 80214 2019-07-08
1508347758 Robin Noel Mackin Speech-Language Pathologist 2401 Lamar Street, Edgewater, CO 80214 2018-08-26
1932636065 Tamika Thomas Counselor 950 Wadsworth Blvd Ste 203, Lakewood, CO 80214 2017-05-19
1902353568 Holly Carpenter Counselor 1410 Vance St, Lakewood, CO 80214 2016-09-01
1285094672 Danijela Jankovic Dentist 7611 W.colfax Avenue, Suite D, Lakewood, CO 80214 2016-02-29
1053784207 Dale Kim Dentist 1921 Sheridan Blvd Unit F, Edgewater, CO 80214 2015-11-10
1558747923 Hv Lakewood Optometrist 6695 W. Colfax Ave., Lakewood, CO 80214 2015-08-07
1265879498 Diana M Arvizo Occupational Therapy Assistant 1685 Eaton St., Lakewood, CO 80214 2013-05-29
1528332731 Jennifer Anderson Physical Therapist 5354 W 25th Ave, Edgewater, CO 80214 2012-03-06
1538462452 Justin S. Braegger Chiropractor 2532 Sheridan Blvd, Denver, CO 80214 2010-12-15
Find all providers in zip 80214

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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013572064 Puget Sound Kidney Centers Clinic/Center 11950 47th Ave Sw, Lakewood, WA 98499 2019-05-06
1679940324 Kingston Dialysis LLC Clinic/Center 1750 Pierce St Ste C, Lakewood, CO 80214-1434 2015-08-28
1922475672 Kingston Dialysis LLC Clinic/Center 1057 S Wadsworth Blvd Ste 100, Lakewood, CO 80226 2015-08-28
1588972012 Kidney Center of Bear Creek LLC Clinic/Center 11058 W Jewell Ave, Lakewood, CO 80232-6139 2010-09-17
1831420462 Total Renal Care Inc Clinic/Center 14050 Madison Ave, Lakewood, OH 44107-4530 2010-01-21
1831388107 Kidney Center of Lakewood LLC Clinic/Center 6166 W Alameda Ave, Lakewood, CO 80226-3539 2007-10-23
1124122908 Lakewood Dialysis Services, LLC Clinic/Center 1328 River Ave, #16, Lakewood, NJ 08701-5645 2006-09-12
1003870130 Total Renal Care Inc Clinic/Center 5919 Lakewood Towne Center Blvd Sw Ste A, Lakewood, WA 98499-6513 2006-04-14
1285693002 Total Renal Care Inc Clinic/Center 4611 Silva St, Lakewood, CA 90712-2512 2006-03-21
1295703585 Total Renal Care Inc Clinic/Center 1057 S Wadsworth Blvd, Ste 100, Lakewood, CO 80226-4360 2006-03-10
Find all providers in LAKEWOOD

Competitor

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City LAKEWOOD
Zip Code 80214

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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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