ISD RENAL INC (NPI# 1194771675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194771675 |
| Entity Type | Organization |
| Organization Name | ISD RENAL INC |
| Other Organization Name | DIALYLSIS CARE OF GREENVILLE |
| Practice Address |
7215 Interstate Highway 30 Ste N Greenville TX 75402-7110 |
| Mailing Address |
5200 Virginia Way Licensure & Certification Brentwood TN 37027-7569 |
| Practice Telephone | 9034550041 |
| Practice Fax Number | 9034550220 |
| Mailing Telephone | 6153416764 |
| Mailing Fax Number | 8337816999 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | MR. JOHN 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 |
|---|---|---|---|
| TX | 188885104 | 05 |
| Other Name | Type Code |
|---|---|
| Dialylsis Care of Greenville | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4805 Wesley St, Greenville, TX 754015649 | 9034549890 | 9034549892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344307 | Isd Renal Inc | Clinic/Center | 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 | 2020-07-24 |
| 1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
| 1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
| 1538793773 | Isd Renal Inc | Clinic/Center | 2317 Memorial Pkwy Sw Ste 105, Huntsville, AL 35801-5623 | 2020-02-26 |
| 1821646035 | Isd Renal Inc | Clinic/Center | 262 Broad St, Newark, NJ 07104-3809 | 2019-08-30 |
| 1245891670 | Isd Renal Inc | Clinic/Center | 100 W Forest Ave Ste G, Englewood, NJ 07631-4033 | 2019-06-26 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1003390469 | Isd Renal Inc | Clinic/Center | 1843 Foreman Dr Ste 201, Cookeville, TN 38501-5933 | 2018-09-21 |
| 1174006662 | Isd Renal Inc | Clinic/Center | 2636 W Michigan St, Indianapolis, IN 46222-3727 | 2018-09-11 |
| 1619459682 | Isd Renal Inc | Clinic/Center | 620 Mall Blvd Ste E, Dyersburg, TN 38024-1649 | 2018-09-05 |
| Street Address |
7215 INTERSTATE HIGHWAY 30 STE N |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75402-7110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159758 | Hunt's Pharma Rx LLC | Pharmacy | 2934 W Interstate 30, Suite A, Greenville, TX 75402 | 2020-06-22 |
| 1639709421 | Family First Home Health and Hospice, LLC | Hospice Care, Community Based | 2824 Terrell Road, Suite 402, Greenville, TX 75402 | 2020-01-21 |
| 1346713658 | Europa Enterprise LLC | Pharmacy | 2394 W Interstate 30 Ste A, Greenville, TX 75402 | 2019-01-09 |
| 1043728975 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 3103 I-30 Frontage Rd, Greenville, TX 75402 | 2018-01-12 |
| 1023521721 | Jennifer Carter | Nurse Practitioner | 4221 Ridgecrest, Suite 103, Greenville, TX 75402 | 2017-11-16 |
| 1669914370 | Arnela Ibrahimovic | Nurse Practitioner | 4400 I 30 W Ste 100, Greenville, TX 75402 | 2016-11-11 |
| 1114471950 | Family First Home Health, LLC | Home Health | 2824 Terrell Rd Ste 402, Greenville, TX 75402 | 2016-08-10 |
| 1669835872 | Lauren Matewe | Nurse Practitioner | 5005 Live Oak, Greenville, TX 75402 | 2016-04-04 |
| 1003209636 | Billy Don Mitchell | Family Medicine | 3080 Cr 3115, Billy Don Mitchell M.d., Greenville, TX 75402 | 2015-03-06 |
| 1336556752 | Karly Calender | Specialist/Technologist | 6801 Highland Oak Ct, Greenville, TX 75402 | 2014-07-17 |
| Find all providers in zip 75402 | ||||
| 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 |
|---|---|---|---|---|
| 1215404629 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 4309 Ridgecrest Rd Ste 100, Greenville, TX 75402-6003 | 2018-10-24 |
| 1710460548 | Hunt County Regional Dialysis Center LLC | Clinic/Center | 3301 Ridgecrest Rd Ste 1, Greenville, TX 75402-6251 | 2018-09-07 |
| 1114290368 | Greenville Dialysis Clinic LLC | Clinic/Center | 220 Howe St, Suite 220a, Greenville, SC 29601-3524 | 2012-02-20 |
| 1114200607 | Dialysis Newco Inc | Clinic/Center | 1004 Grove Rd, Suite A, Greenville, SC 29605-4602 | 2011-09-21 |
| 1639470222 | Dsi Greenville, LLC | Clinic/Center | 110 Chalmers Rd, Suite D, Greenville, SC 29605-1351 | 2010-11-12 |
| 1710205802 | Total Renal Care Inc | Clinic/Center | 297 Pete Hollis Blvd, Greenville, SC 29601-1143 | 2010-05-13 |
| 1912177072 | Greenville Dialysis Partners, Lp | Clinic/Center | 4309 Ridgecrest Road, Suite 100, Greenville, TX 75402-6004 | 2008-03-05 |
| 1285746008 | Rcg University Division, Inc. | Clinic/Center | 605 S Academy St, Greenville, SC 29601-2407 | 2006-08-31 |
| 1093827842 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 350 Paul Stabler Dr, Greenville, AL 36037-3128 | 2006-08-31 |
| 1306958152 | Rcg Mississippi, Inc. | Clinic/Center | 2001 Medical Park Dr, Greenville, MS 38703-7220 | 2006-08-31 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75402 |
Please comment or provide details below to improve the information on ISD RENAL 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.