KIDNEY CENTER OF DACONO LLC (NPI# 1285086389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285086389 |
| Entity Type | Organization |
| Organization Name | KIDNEY CENTER OF DACONO LLC |
| Other Organization Name | KIDNEY CENTER OF FREDERICK |
| Practice Address |
5992 Iris Pkwy Frederick CO 80504-6412 |
| Practice Telephone | 3038331381 |
| Practice Fax Number | 3038331382 |
| Mailing Telephone | 3038331381 |
| Mailing Fax Number | 3038331382 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | MRS. SHARI COUSINS (SR. VP OF CLINICAL & REGULATORY) |
| Authorized Official Telephone | 9789223080 |
| 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 |
| Other Name | Type Code |
|---|---|
| KIDNEY CENTER OF FREDERICK | Doing Business As Name - Organization |
| Street Address |
5992 IRIS PKWY |
| City | FREDERICK |
| State | CO |
| Zip Code | 80504-6412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776620 | Cinde S Yoho | Social Worker | 9485 County Road 15, Firestone, CO 80504 | 2018-10-19 |
| 1427544881 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 310 Lashley St Ste 109, Longmont, CO 80504 | 2018-07-09 |
| 1962913962 | Melissa Frick | Counselor | 10184 E I-25 Frontage Rd, Firestone, CO 80504 | 2017-10-17 |
| 1558757260 | Firestone Pediatric Dentistry and Orthodontics | Dentist | 8301 Colorado Blvd, Suite 200, Firestone, CO 80504 | 2015-04-09 |
| 1912392671 | Ashley Lerwick | Speech-Language Pathologist | 11169 Interstate I25 Frontage Rd, Firestone, CO 80504 | 2015-03-31 |
| 1780077685 | Roger Leon Jorgensen | Ophthalmology | 14222 N 95 Si, Longmont, CO 80504 | 2015-03-17 |
| 1982942090 | Carrie Rose Fitzekam | Technician | 712 Tanagers Circle, Longmont, CO 80504 | 2013-01-24 |
| 1003166976 | Jennifer Lynn Mcnerney | Speech-Language Pathologist | 8197 Miller Dr, Frederick, CO 80504 | 2012-09-18 |
| 1821343450 | Allison Luellen | Physician Assistant | 8350 Colorado Blvd, Suite 160, Firestone, CO 80504 | 2012-07-19 |
| 1609132109 | Abby Elizabeth Bohall | Speech-Language Pathologist | 5132 Mt Buchanan Ave, Frederick, CO 80504 | 2012-04-09 |
| Find all providers in zip 80504 | ||||
| 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 |
|---|---|---|---|---|
| 1396236626 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 1306 W Patrick St Ste 5, Frederick, MD 21703-4869 | 2018-05-22 |
| 1114119336 | Frederick Renal Care LLC. | Clinic/Center | 405 W Seventh St, Suite A, Frederick, MD 21701-4505 | 2007-08-11 |
| 1407381155 | Fresenius Medical Care Frederick, LLC | Clinic/Center | 163 Thomas Johnson Dr, Frederick, MD 21702-4673 | 2017-05-01 |
| 1104102839 | Freedom Home Dialysis, LLC | Clinic/Center | 45 Thomas Johnson Dr, Suite 211, Frederick, MD 21702-4425 | 2011-10-26 |
| 1902184625 | Total Renal Care Inc | Clinic/Center | 5205 Chairmans Ct, Ste 101, Frederick, MD 21703-2916 | 2011-07-29 |
| 1023078466 | Dva Healthcare of Maryland LLC | Clinic/Center | 140 Thomas Johnson Dr, Ste100, Frederick, MD 21702-4475 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028934 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 1329 W Main St Ste B, Sterling, CO 80751-2834 | 2020-09-16 |
| 1295340073 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 2431 Main St Ste 5, Alamosa, CO 81101-8110 | 2020-09-09 |
| 1861007643 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 1125 S Camino Del Rio Ste 300b, Durango, CO 81303-6886 | 2020-09-09 |
| 1801424379 | Fresenius Medical Care Sloans Lake, LLC | Clinic/Center | 4097 W Colfax Ave, Denver, CO 89204-1404 | 2020-03-31 |
| 1043859507 | Altitude Dialysis Inc. | Clinic/Center | 1209 Monroe Street, Denver, CO 80206-3445 | 2020-01-02 |
| 1083259634 | Fresenius Medical Care Colorado Springs, LLC | Clinic/Center | 3326 Centennial Blvd, Colorado Springs, CO 80907-4092 | 2019-11-07 |
| 1376025585 | Fresenius Medical Care Dialysis Services Colorado LLC | Clinic/Center | 1526 Oakridge Dr, Fort Collins, CO 80525-7305 | 2018-09-04 |
| 1639692288 | Southwest Rocky Mountain Dialysis, LLC | Clinic/Center | 4834 Chambers Rd, Denver, CO 80239-5152 | 2017-07-25 |
| 1174074223 | Milltown Dialysis LLC | Clinic/Center | 1321 S 4th Ave Ste 100, Brighton, CO 80601 | 2016-10-24 |
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIDNEY CENTER OF DACONO LLC.
| 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.