RAI CARE CENTERS OF NORTH CAROLINA II, LLC (NPI# 1215946769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215946769 |
Entity Type | Organization |
Organization Name | RAI CARE CENTERS OF NORTH CAROLINA II, LLC |
Other Organization Name | RAI-LATROBE-CHARLOTTE |
Practice Address |
3515 Latrobe Dr Charlotte NC 28211-4853 |
Mailing Address |
1550 W. Mcewen Drive Suite 500 Franklin TN 37067-1731 |
Practice Telephone | 7043665299 |
Practice Fax Number | 7043667597 |
Mailing Telephone | 6156611100 |
Mailing Fax Number | 6155073300 |
Enumeration Date | 2006-08-05 |
Last Update Date | 2011-02-10 |
Authorized Official Name | MR. JON M SUNDOCK (VICE PRESIDENT) |
Authorized Official Telephone | 6155073307 |
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 |
---|---|---|---|
NC | BCBS | 001G3 | 01 |
NC | 3422552 | 05 | |
NC | AETNA | 7997895 | 01 |
NC | CIGNA HEALTHCARE | 1703087 | 01 |
Other Name | Type Code |
---|---|
RAI-Latrobe-Charlotte | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376552331 | Rai Care Centers of North Carolina II, LLC | Clinic/Center | 213 West College Street, Warsaw, NC 28398-1811 | 2006-08-07 |
1932118460 | Rai Care Centers of North Carolina II, LLC | Clinic/Center | 9030 Glenwater Dr, Charlotte, NC 28262-8563 | 2006-08-05 |
1962411405 | Rai Care Centers of North Carolina II, LLC | Clinic/Center | 2604 N Hospital Rd, Goldsboro, NC 27534 | 2006-08-05 |
Street Address |
3515 LATROBE DR |
City | CHARLOTTE |
State | NC |
Zip Code | 28211-4853 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023384542 | Dialysis Newco Inc | Clinic/Center | 3515 Latrobe Dr, Charlotte, NC 28211-4853 | 2012-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
Find all providers in zip 28211 |
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 |
---|---|---|---|---|
1639671357 | Total Renal Care of North Carolina LLC | Clinic/Center | 9562 Rocky River Rd, Charlotte, NC 28215 | 2018-03-08 |
1851891774 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3211 Bishops Way Lane, Charlotte, NC 28215 | 2018-02-16 |
1821500661 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 5601 Tuckaseegee Rd, Charlotte, NC 28208-2525 | 2017-11-02 |
1952833188 | Captree Dialysis LLC | Clinic/Center | 5100 Reagan Drive, Ste 10, Charlotte, NC 28206-1353 | 2017-03-28 |
1528438215 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 14166 Steele Creek Rd, Charlotte, NC 28273-3968 | 2015-10-07 |
1689868739 | Dva Healthcare Renal Care Inc | Clinic/Center | 6620 Old Statesville Rd, Charlotte, NC 28269-6768 | 2007-08-31 |
1538259031 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 928 Baxter St, Charlotte, NC 28204-2802 | 2006-10-13 |
1629168125 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 5220 N Tryon St, Suite A, Charlotte, NC 28213-7070 | 2006-10-13 |
1083704589 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 7901 England St, Charlotte, NC 28273-5915 | 2006-10-13 |
1609988419 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1334 Central Ave, Charlotte, NC 28205-5010 | 2006-08-31 |
Find all providers in CHARLOTTE |
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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.