PURIDIA LLC (NPI# 1265050264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265050264 |
| Entity Type | Organization |
| Organization Name | PURIDIA LLC |
| Practice Address |
2121 E Flamingo Rd Ste 102 Las Vegas NV 89119-5123 |
| Practice Telephone | 8083128059 |
| Mailing Telephone | 8083128059 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | ADAM BAGLEY (FOUNDER/CFO) |
| Authorized Official Telephone | 8083128059 |
| 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 |
2121 E FLAMINGO RD STE 102 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-5123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1184272460 | Fresenius Medical Care Nkdhc, LLC | Clinic/Center | 255 E Warm Springs Rd, Las Vegas, NV 89119-4233 | 2019-08-29 |
| 1528629805 | Renwick Dialysis LLC | Clinic/Center | 2350 Stockton Ave, Las Vegas, NV 89104-3823 | 2019-06-26 |
| 1245681170 | Ramsey Dialysis LLC | Clinic/Center | 1750 E Desert Inn Rd Ste 100, Las Vegas, NV 89169-3202 | 2016-06-22 |
| 1861875585 | Frontier Dialysis, LLC | Clinic/Center | 7316 W Cheyenne Ave, Las Vegas, NV 89129-6201 | 2015-06-30 |
| 1609217157 | Fresenius Medical Care West Sahara, LLC | Clinic/Center | 1581 Mount Mariah Dr, Suite 100, Las Vegas, NV 89106 | 2013-07-12 |
| 1134493265 | Fresenius Medical Care Ne Las Vegas, LLC | Clinic/Center | 321 N Nellis Blvd, Las Vegas, NV 89110-5323 | 2012-03-07 |
| 1881961977 | Sherman Dialysis LLC | Clinic/Center | 3291 N Buffalo Dr Bldg A, Suite 150, Las Vegas, NV 89129-7441 | 2011-11-17 |
| 1952698417 | Isd Spring Valley LLC | Clinic/Center | 3855 S Jones Blvd, Suite 101, Las Vegas, NV 89103-2296 | 2011-07-06 |
| 1841516887 | Fresenius Medical Care West Sahara LLC | Clinic/Center | 7710 W Sahara Ave, Suite 120, Las Vegas, NV 89117-2752 | 2010-04-15 |
| Find all providers in LAS VEGAS | ||||
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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.