YARDS DIALYSIS LLC


Address: 6850 San Fernando Rd, Glendale, CA 91201-1642
Phone: 8185636102

YARDS DIALYSIS LLC (NPI# 1174043046) 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) 1174043046
Entity Type Organization
Organization Name YARDS DIALYSIS LLC
Other Organization Name GLENDALE HEIGHTS DIALYSIS
Practice Address 6850 San Fernando Rd
Glendale
CA 91201-1642
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 8185636102
Practice Fax Number 8185636138
Mailing Telephone 6153416793
Mailing Fax Number 8777902174
Enumeration Date 2017-06-22
Last Update Date 2020-09-28
Authorized Official Name JOHN D. 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
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Glendale Heights Dialysis Doing Business As Name - Organization

Office Location

Street Address 6850 SAN FERNANDO RD
City GLENDALE
State CA
Zip Code 91201-1642

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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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Competitor

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City GLENDALE
Zip Code 91201

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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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