SPRAGUE DIALYSIS LLC (NPI# 1255875290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255875290 |
| Entity Type | Organization |
| Organization Name | SPRAGUE DIALYSIS LLC |
| Other Organization Name | MILLVILLE DIALYSIS |
| Practice Address |
3 Elizabeth St Millville NJ 08332 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8563274580 |
| Practice Fax Number | 8563274584 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2018-08-16 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
24338 | NJ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Millville Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093270696 | Sprague Dialysis LLC | Clinic/Center | 4403 Black Horse Pike Ste Ll04, Mays Landing, NJ 08330-3103 | 2019-02-07 |
| 1972047918 | Sprague Dialysis LLC | Clinic/Center | 1318 S Main Rd, Ste 3b, Vineland, NJ 08360-6516 | 2016-12-09 |
| 1639613649 | Sprague Dialysis LLC | Clinic/Center | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2016-12-09 |
| Street Address |
3 ELIZABETH ST |
| City | MILLVILLE |
| State | NJ |
| Zip Code | 08332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487081030 | David Gabriel Aderholdt | Family Medicine | 3 Elizabeth St, Millville, NJ 08332-2509 | 2013-09-27 |
| 1225554033 | Ashley Olakunbi Odukoya | Family Medicine | 3 Elizabeth St, Millville, NJ 08332-2509 | 2017-08-15 |
| 1013371632 | Eddie Akrout | Family Medicine | 3 Elizabeth St, Millville, NJ 08332 | 2016-04-09 |
| 1508295734 | Jennifer Morales | Social Worker | 3 Elizabeth St, Millville, NJ 08332-2509 | 2013-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285158956 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave, Apt. #16b, Millville, NJ 08332 | 2017-08-03 |
| 1649794314 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #8d, Millville, NJ 08332 | 2017-08-03 |
| 1639693302 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. 19k, Millville, NJ 08332 | 2017-08-03 |
| 1912421686 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #15j, Millville, NJ 08332 | 2017-08-03 |
| 1720502495 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #16f, Millville, NJ 08332 | 2017-08-03 |
| 1376067041 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #21h, Millville, NJ 08332 | 2017-08-03 |
| 1932572989 | Caringhouse Projects, Inc | Respite Care | 1306 Farton Road, Millville, NJ 08332 | 2015-11-12 |
| 1467825778 | Caringhouse Projects, Inc | Respite Care | 403 Harrison Avenue, Millville, NJ 08332 | 2015-11-09 |
| 1528444734 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 207 Bogden Boulevard, Millville, NJ 08332 | 2015-08-11 |
| 1285028936 | Brooke Colleen Doyle | Chiropractor | 1014 N High St., Millville, NJ 08332 | 2015-03-20 |
| Find all providers in zip 08332 | ||||
| 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 |
|---|---|---|---|---|
| 1588808661 | Kidney Center At Millville LLC | Clinic/Center | 3 Elizabeth Ave, Millville, NJ 08332 | 2009-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356963938 | Usrc Gloucester, LLC | Clinic/Center | 601 Berlin Cross Keys Rd, Sicklerville, NJ 08081-9563 | 2020-05-18 |
| 1679192876 | Knickerbocker Dialysis Inc | Clinic/Center | 1734 Hancock St, Ridgewood, NJ 11385-4734 | 2020-04-09 |
| 1750910295 | Elandon Dialysis LLC | Clinic/Center | 820 N Rte 17, Paramus, NJ 07652-3104 | 2020-04-06 |
| 1780212365 | Zellier Dialysis LLC | Clinic/Center | 1260 Route 22 E, North Plainfield, NJ 07060 | 2020-03-30 |
| 1437798386 | Total Renal Care Inc | Clinic/Center | 1800 State Route 34 Ste 302, Wall Township, NJ 07719-9146 | 2019-12-24 |
| 1598306276 | Fresenius Medical Care Passaic, LLC | Clinic/Center | 10 Clifton Blvd Ste 1, Clifton, NJ 07011-3802 | 2019-10-03 |
| 1821646035 | Isd Renal Inc | Clinic/Center | 262 Broad St, Newark, NJ 07104-3809 | 2019-08-30 |
| 1699323824 | Claymount Dialysis LLC | Clinic/Center | 21 Cornwell Dr, Bridgeton, NJ 08302-3632 | 2019-08-30 |
| 1962064758 | Fresenius Medical Care Bridgeton, LLC | Clinic/Center | 12 Cornwell Dr, Bridgeton, NJ 08302-3633 | 2019-07-02 |
| 1790347698 | Wellbound of Cherry Hill, LLC | Clinic/Center | 1945 Route 70 E Ste A, Cherry Hill, NJ 08003-2117 | 2019-07-01 |
| Find all providers with the same taxonomy | ||||
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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.