NAPLES HOME DIALYSIS LLC (NPI# 1205075389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205075389 |
| Entity Type | Organization |
| Organization Name | NAPLES HOME DIALYSIS LLC |
| Practice Address |
6101 Pine Ridge Rd Desk 32 Naples FL 34119-3900 |
| Practice Telephone | 2393488804 |
| Practice Fax Number | 2393488836 |
| Mailing Telephone | 2393488804 |
| Mailing Fax Number | 2393488836 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |
| Authorized Official Name | DR. JAMES REID STERRETT (CEO) |
| Authorized Official Telephone | 2393488804 |
| Authorized Official Credential | M.D. |
| 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 |
| Street Address |
6101 PINE RIDGE RD DESK 32 |
| City | NAPLES |
| State | FL |
| Zip Code | 34119-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760480941 | Moheb M Mohareb | Surgery | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2005-07-12 |
| 1053919241 | Christopher John Larson | Specialist/Technologist, Other | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-10-11 |
| 1699372672 | Kyle Harrington | Physician Assistant | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-10-03 |
| 1700495389 | Naples Hma LLC | Medicare Defined Swing Bed Unit | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-07-29 |
| 1295350411 | Tian Luo | Surgery | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-06-12 |
| 1891318481 | Capital Anesthesia Solutions of Florida II, LLC | Anesthesiology | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-05-18 |
| 1457986879 | Lory Ann Taraborelli | Clinical Nurse Specialist | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-03-05 |
| 1003453838 | Christina Elana Cibula | Nurse Anesthetist, Certified Registered | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2019-11-27 |
| 1124671367 | Rebecca Nicole Orr | Pharmacist | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2019-07-17 |
| 1174188999 | Carrie Daugherty | Nurse Anesthetist, Certified Registered | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2019-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553005 | Michael Spicuzza | Emergency Medical Technician, Intermediate | 3315 Grand Cypress Drive, #201, Naples, FL 34119 | 2020-03-23 |
| 1033771993 | Stephanie N Chandler | Nurse Practitioner | 6340 Pine Ridge Rd, Suite 201, Naples, FL 34119 | 2019-07-01 |
| 1174041701 | Bradley W. Coleman | Pharmacist | 3917 Upolo Lane, Naples, FL 34119 | 2017-09-04 |
| 1437676350 | Brenda A Schlueter | Clinic/Center | 7070 Venice Way Apt 2904, Naples, FL 34119 | 2017-08-23 |
| 1457760548 | Loving Care Home Health Agency, Inc. | Home Health | 2590 Northbrooke Plaza Drive, Suite 208, Naples, FL 34119 | 2014-08-04 |
| 1578971826 | Maria Rienzi | Physician Assistant | Physicians Regional Medical Group, 6101 Pine Ridge Rd, Naples, FL 34119 | 2014-07-31 |
| 1861832941 | Queanh N Phan | Dentist | 8855 Immokalee Rd, Suite 10, Naples, FL 34119 | 2013-07-03 |
| 1144505199 | Isabelle Faucher | Dietitian, Registered | 4522 Executive Dr Unit 103, Naples, FL 34119 | 2011-10-20 |
| 1528340973 | Amy Hemsworth | Pharmacist | 13520 Tamiami Trail N, Naples, FL 34119 | 2011-09-12 |
| 1437469970 | Marika Walker | Physician Assistant | 4513 Executive Dr., Naples, FL 34119 | 2010-10-18 |
| Find all providers in zip 34119 | ||||
| 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 |
|---|---|---|---|---|
| 1942776893 | Pure Life Renal of Naples, LLC | Clinic/Center | 3540 Pine Ridge Rd, Naples, FL 34109-3928 | 2018-10-18 |
| 1770934762 | Usrc Uptown Naples LLC | Clinic/Center | 2700 Immokalee Rd Ste 22, Naples, FL 34110-1436 | 2016-06-30 |
| 1134437213 | Ara Naples South Dialysis Center LLC | Clinic/Center | 4270 Tamiami Trl E, Suite 1, Naples, FL 34112-6718 | 2010-09-22 |
| 1821178534 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 12703 E. Tamiami Trail, #121, Naples, FL 34113 | 2006-10-17 |
| 1912019779 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 12703 Tamiami Trl E, Ste 121, Naples, FL 34113-8424 | 2006-08-31 |
| 1992817753 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 1750 Sw Health Pkwy, Suite 1, Naples, FL 34109-0518 | 2006-08-31 |
| 1942244710 | Ara-naples Dialysis Center LLC | Clinic/Center | 4529 Executive Dr, Naples, FL 34119-8884 | 2006-06-15 |
| 1033164033 | Isd Renal Inc | Clinic/Center | 6625 Hillway Cir, Naples, FL 34112-8756 | 2006-05-24 |
| 1326016130 | Dva Renal Healthcare, Inc. | Clinic/Center | 661 9th St N, Naples, FL 34102-8132 | 2006-03-08 |
| 1972628782 | North Naples Dialysis LLC | Clinic/Center | 1750 Sw Health Pkwy, Naples, FL 34109-0420 | 2007-03-20 |
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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.