DVA HEALTHCARE RENAL CARE INC


Address: 11308 Hawthorne Dr, Mint Hill, NC 28227-9300
Phone: 7045732549

DVA HEALTHCARE RENAL CARE INC (NPI# 1205116167) 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) 1205116167
Entity Type Organization
Organization Name DVA HEALTHCARE RENAL CARE INC
Other Organization Name MINT HILL DIALYSIS
Practice Address 11308 Hawthorne Dr
Mint Hill
NC 28227-9300
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 7045732549
Practice Fax Number 7045453747
Mailing Telephone 6153204593
Mailing Fax Number 8002935872
Enumeration Date 2011-08-24
Last Update Date 2018-12-12
Authorized Official Name JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334500
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 Identifier

State Issuer Identifier Type Code
NC 1205116167 05

Other Provider/Organization Names

Other Name Type Code
Mint Hill Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831690098 Dva Healthcare Renal Care Inc Clinic/Center 3901 N Roxboro St Ste 108, Durham, NC 27704-2181 2018-02-23
1639695984 Dva Healthcare Renal Care Inc Clinic/Center 209 Nc Highway 111 S, Goldsboro, NC 27534-9253 2017-08-18
1710351531 Dva Healthcare Renal Care Inc Clinic/Center 101 Davita Ln, Elizabeth City, NC 27909-3314 2015-11-17
1851769848 Dva Healthcare Renal Care Inc Clinic/Center 9622 Kincey Ave, Huntersville, NC 28078-9140 2015-09-08
1447643408 Dva Healthcare Renal Care Inc Clinic/Center 1274 Ruin Creek Road, Henderson, NC 27537-4168 2015-03-13
1932363744 Dva Healthcare Renal Care Inc Clinic/Center 7260 E Marshville Blvd, Marshville, NC 28103-1191 2008-07-11
1689868739 Dva Healthcare Renal Care Inc Clinic/Center 6620 Old Statesville Rd, Charlotte, NC 28269-6768 2007-08-31
1700815487 Dva Healthcare Renal Care Inc Clinic/Center 3053 State Route 35, Ste 201, Hazlet, NJ 07730-1526 2006-07-03
1508895632 Dva Healthcare Renal Care Inc Clinic/Center 1164 E Route 130, Burlington, NJ 08016-2954 2006-07-01
1740246404 Dva Healthcare Renal Care Inc Clinic/Center 5780 Schaffer Rd, Dubois, PA 15801 2006-04-21

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities DVA HEALTHCARE RENAL CARE INC. 2000 16th St, Jld/Secgovfin, Denver, Colorado 80202-5117

Office Location

Street Address 11308 HAWTHORNE DR
City MINT HILL
State NC
Zip Code 28227-9300

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396396693 Phyllis Newsome Wilson Technician 8423 Empress Ct, Charlotte, NC 28227 2019-09-27
1134611239 Alyssa Latonia Rodgers Counselor 7512 Spring Spruce Ln, Charlotte, NC 28227 2018-06-04
1114463429 Andrea Henneberry Physical Therapy Assistant 9706 Stoney Glen Dr Apt L, Mint Hill, NC 28227 2017-01-10
1649726589 Keba Bosley Social Worker 5912 Brightstar Valley Road, Mint Hill, NC 28227 2016-08-31
1710330071 Carolina Family Services Community/Behavioral Health 5737 Old Magnolia Lane, Mint Hill, NC 28227 2016-07-21
1518311901 Aynsley Girardeau Optometrist 7014 Tutor Street, Suite C, Mint Hill, NC 28227 2016-04-21
1487037875 Shalini Kamodia Dentist 11300 Cresthill Dr Ste 105, Mint Hill, NC 28227 2015-07-02
1629455720 Yes We Care Human Services of Mecklenburg County Adult Companion 8201 Willowlake Ct, Charlotte, NC 28227 2015-04-28
1841677077 Hewitt Home Care Psychiatric Residential Treatment Facility 2331 Crownpoint Executive Drive, Charlotte, NC 28227 2015-04-27
1467847426 Marguerita Sitrin Blaker Psychologist 2400 Crownpoint Executive Drive, Suite 100, Office #5, Charlotte, NC 28227 2015-04-06
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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...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821695164 North Davidson Dialysis Center of Wake Forest University Clinic/Center 295 Millers Creek Drive, Winston Salem, NC 27127 2020-10-08
1730793571 Bio-medical Applications of North Carolina, Inc. Clinic/Center 1422 Meadowbrook Rd, Rocky Mount, NC 27801-6700 2020-08-31
1114546298 Bio-medical Applications of North Carolina, Inc. Clinic/Center 67 Jr Rd Ste 1200, Selma, NC 27576-3458 2020-04-09
1972139640 Fresenius Medical Care Holly Springs, LLC Clinic/Center 5045 Old Raleigh Rd, Cary, NC 27511-6479 2020-03-13
1679106900 Total Renal Care of North Carolina, LLC Clinic/Center 614 S Cannon Blvd, Kannapolis, NC 28083 2020-02-14
1699318162 Total Renal Care of North Carolina, LLC Clinic/Center 246 Olmsted Blvd Ste E, Pinehurst, NC 28374-6005 2019-10-28
1497398416 Total Renal Care of North Carolina, LLC Clinic/Center 2621 Hendersonville Rd, Arden, NC 28704-9226 2019-10-22
1780231894 Bio-medical Applications of North Carolina, Inc. Clinic/Center 2360 Williamwood Lane, Fayetteville, NC 28314 2019-08-22
1962063156 Bio-medical Applications of North Carolina, Inc. Clinic/Center 565 Regency Blvd, Winterville, NC 28590-5503 2019-06-27
1295399343 Total Renal Care of North Carolina, LLC Clinic/Center 219 Martin Luther King Jr Dr, Bladenboro, NC 28320 2019-04-24
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Competitor

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City MINT HILL
Zip Code 28227

Improve Information

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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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