RENAL TREATMENT CENTERS NORTHEAST INC (NPI# 1194791046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194791046 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS NORTHEAST INC |
| Other Organization Name | WILMINGTON DIALYSIS CENTER |
| Practice Address |
700 W Lea Blvd G-2 Wilmington DE 19802-2541 |
| Mailing Address |
5200 Virginia Way Ste 400 Brentwood TN 37027-7569 |
| Practice Telephone | 3027628585 |
| Practice Fax Number | 3027628586 |
| Mailing Telephone | 6153204521 |
| Mailing Fax Number | 8665942894 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | THOMAS O USILTON JR. (GROUP VICE PRESIDENT) |
| Authorized Official Telephone | 7705417922 |
| 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 |
|---|---|---|---|
| DE | 000469434 | 05 |
| Other Name | Type Code |
|---|---|
| Wilmington Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104095041 | Renal Treatment Centers Northeast Inc | Clinic/Center | 1172 S Broad St, Philadelphia, PA 19146-3142 | 2008-02-25 |
| 1982634333 | Renal Treatment Centers Northeast Inc | Clinic/Center | 2121 Us Highway 22, Bound Brook, NJ 08805-1546 | 2006-07-03 |
| 1518929280 | Renal Treatment Centers Northeast Inc | Clinic/Center | 109 Dickinson St, Philadelphia, PA 19147-6107 | 2006-04-06 |
| 1295797058 | Renal Treatment Centers Northeast Inc | Clinic/Center | 518 Knorr St, Philadelphia, PA 19111-4604 | 2006-04-05 |
| 1598727372 | Renal Treatment Centers Northeast Inc | Clinic/Center | 185 Delaware Ave, Ste C, Palmerton, PA 18071-1716 | 2006-04-05 |
| 1841252889 | Renal Treatment Centers Northeast Inc | Clinic/Center | 3243 Lincoln Hwy, Thorndale, PA 19372-1012 | 2006-04-05 |
| 1255307336 | Renal Treatment Centers Northeast Inc | Clinic/Center | 605 W Newport Pike, Newport, DE 19804-3235 | 2006-02-27 |
| 1942393863 | Renal Treatment Centers Northeast Inc | Clinic/Center | 657 Willow Grove St, West Wing Medical Plaza Ste 202, Hackettstown, NJ 07840-1713 | 2006-10-02 |
| 1407818198 | Renal Treatment Centers Northeast Inc | Clinic/Center | 1 Medical Center Blvd, Ste 120, Chester, PA 19013-3902 | 2006-04-06 |
| 1821050667 | Renal Treatment Centers Northeast Inc | Clinic/Center | 100 Plaza Ct, Ste B, East Stroudsburg, PA 18301-8258 | 2006-04-05 |
| Street Address |
700 W LEA BLVD G-2 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19802-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063404044 | John Frederick Decarli | Internal Medicine | 700 W Lea Blvd, Suite 306, Wilmington, DE 19802-2500 | 2005-08-17 |
| 1134506645 | Allegiant Comprehensive Care, LLC | Obstetrics & Gynecology | 700 W Lea Blvd, Suite 209, Wilmington, DE 19802-2500 | 2015-05-04 |
| 1356730311 | Amy Hitchens | Nurse Practitioner | 700 W Lea Blvd, Wilmington, DE 19802-2500 | 2015-01-14 |
| 1174855530 | Bio-medical Applications of Delaware, Inc. | Clinic/Center | 700 W Lea Blvd, Wilmington, DE 19802-2500 | 2010-02-09 |
| 1982833356 | Advanced Care Obstetrics and Gynecology Pa | Obstetrics & Gynecology | 700 W Lea Blvd, Suite 209, Wilmington, DE 19802-2500 | 2009-07-07 |
| 1821233008 | Peter M Desroches | Physical Therapy Assistant | 700 W Lea Blvd, Wilmington, DE 19802-2500 | 2008-12-02 |
| 1144487828 | Cadia Healthcare Riverside | Nursing Facility/Intermediate Care Facility | 700 W Lea Blvd, Wilmington, DE 19802-2500 | 2008-05-20 |
| 1841316924 | Francis Mase M.d., P.a. | Pediatrics | 700 W Lea Blvd, Suite 205, Wilmington, DE 19802-2500 | 2007-03-21 |
| 1003961020 | Francis Njeuma Mase | Pediatrics | 700 W Lea Blvd, Suite 209, Wilmington, DE 19802-2500 | 2007-01-23 |
| 1821155235 | John F Decarli Do | Internal Medicine | 700 W Lea Blvd, Suite 306, Wilmington, DE 19802-2500 | 2007-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457828352 | Allison Porter Nast | Nurse Practitioner | 1624 N Jessup Street, Wilmington, DE 19802 | 2018-10-29 |
| 1851804694 | Laura Jean Cornelis | Nurse Practitioner | 908b East 16th Street, Wilmington, DE 19802 | 2017-11-15 |
| 1477094365 | Jennifer Burris | Nurse Practitioner | 908-b East 16th Street, Wilmington, DE 19802 | 2017-03-13 |
| 1245694694 | Rochelle L Johnson | Counselor | 2005 Baynard Boulevard, Wilmington, DE 19802 | 2016-04-12 |
| 1942674692 | Barbara G Goldsmith | Social Worker | 501 W 37th St, Wilmington, DE 19802 | 2015-11-18 |
| 1942590492 | Olalekan David Falade | Pharmacist | 602 C4 West Lea Blvd, Wilmington, DE 19802 | 2011-04-18 |
| 1598919144 | Trina Brooks Haywood | Registered Nurse | 700 W Lea Blvd Ste 201, Wilmington, DE 19802 | 2008-11-10 |
| 1184808347 | Dr Lesly Robinson Dpm | Podiatrist | 4011 N Market Street, Wilmington, DE 19802 | 2007-12-24 |
| 1366622110 | Overbrook Therapy Associates | Community/Behavioral Health | 1015 West 24th Street, Wilmington, DE 19802 | 2007-11-09 |
| 1215059332 | Everett T Dickerson | Counselor | 620 W 27th St, Wilmington, DE 19802 | 2007-04-06 |
| Find all providers in zip 19802 | ||||
| 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 |
|---|---|---|---|---|
| 1295196491 | Total Renal Care of North Carolina, LLC | Clinic/Center | 3147 S 17th St, Wilmington, NC 28412-1030 | 2016-03-15 |
| 1225415888 | Fresenius Medical Care Wilmington Home, LLC | Clinic/Center | 164 Holiday Dr, Wilmington, OH 45177-8731 | 2015-05-04 |
| 1861787269 | Total Renal Care of North Carolina LLC | Clinic/Center | 3005 Enterprise Drive, Wilmington, NC 28405-2181 | 2011-06-14 |
| 1275714347 | Bio-medical Applications of Delaware, Inc. | Clinic/Center | 4000 N Washington St, Wilmington, DE 19802-2136 | 2007-11-16 |
| 1821284662 | Liberty Dialysis - Wilmington LLC | Clinic/Center | 913 Delaware Ave, Wilmington, DE 19806-4701 | 2007-09-14 |
| 1235234030 | Bio-medical Applications of Delaware, Inc. | Clinic/Center | 701 N Clayton St Ste 404, Wilmington, DE 19805-3165 | 2006-09-14 |
| 1679677546 | National Medical Care, Inc. | Clinic/Center | 303 A St, Wilmington, DE 19801-5324 | 2006-09-12 |
| 1982658043 | Independent Nephrology Services, Inc. | Clinic/Center | 1098 Medical Center Dr, Wilmington, NC 28401-7353 | 2006-05-20 |
| 1932165867 | Renal Life Link Inc | Clinic/Center | 1675 Alex Dr, Wilmington, OH 45177-2446 | 2006-04-20 |
| 1093774473 | Total Renal Care of North Carolina LLC | Clinic/Center | 2215 Yaupon Dr, Wilmington, NC 28401-7334 | 2006-03-22 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19802 |
Please comment or provide details below to improve the information on RENAL TREATMENT CENTERS NORTHEAST 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.