CADDOAN DIALYSIS LLC (NPI# 1306381942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306381942 |
| Entity Type | Organization |
| Organization Name | CADDOAN DIALYSIS LLC |
| Other Organization Name | MISSION DIALYSIS |
| Practice Address |
2852 W 47th Ave Kansas City KS 66103-3243 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 9134031843 |
| Practice Fax Number | 9134031848 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2019-10-22 |
| 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 |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mission Dialysis | Doing Business As Name - Organization |
| Street Address |
2852 W 47TH AVE |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66103-3243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113864 | Jared Warner Finley | Counselor | 2708 W 43rd Ave., Kansas City, KS 66103 | 2020-01-15 |
| 1194379065 | Ignite Medical Resort A Ptr of The Univ of Kansas Health System, LLC | Skilled Nursing Facility | 3910 Rainbow Boulevard, Kansas City, KS 66103 | 2019-07-30 |
| 1386110302 | Stella Ngetich | Nurse Practitioner | Southwest Blvd Family Health Care, 340 Southwest Blvd, Kansas City, KS 66103 | 2018-10-17 |
| 1700395878 | University of Kansas Hospital Cambridge Retail Pharmacy | Pharmacy | 3825 Cambridge Street, Suite Ca 1333, Kansas City, KS 66103 | 2017-09-21 |
| 1417350067 | Luke Giefer | Physical Therapist | 2507 W 45th Ave, Kansas City, KS 66103 | 2014-09-26 |
| 1154736445 | Concilia Amaonye I | Behavioral Analyst | 2205 West 36 Av, Kansas City, KS 66103 | 2014-06-25 |
| 1043317498 | Christine J Campbell | Social Worker | 2530 West 47th Street, Kansas City, KS 66103 | 2006-09-20 |
| 1154439081 | Sharon D Lee | Family Medicine | 340 Southwest Blvd, Kansas City, KS 66103 | 2006-08-29 |
| 1033743331 | Ignite Medical Resort A Ptr of The Univ of Kansas Health System, LLC | Clinic/Center | 3910 Rainbow Boulevard, Kansas City, KS 66103 | 2020-02-25 |
| 1710373790 | Luke Frager | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd Ms 4032, Kumc Radiology, Kansas City, KS 66103 | 2015-04-07 |
| Find all providers in zip 66103 | ||||
| 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 |
|---|---|---|---|---|
| 1033602990 | Lantell Dialysis LLC | Clinic/Center | 8608 E 63rd St, Kansas City, MO 64133-4725 | 2018-06-14 |
| 1518407493 | Dialysis Clinic Inc | Clinic/Center | 2715 Swope Pkwy, Kansas City, MO 64130 | 2017-02-27 |
| 1750833489 | Home Dialysis Services Kc Midtown LLC | Clinic/Center | 1728 Holmes St, Kansas City, MO 64108-1539 | 2016-10-28 |
| 1174900500 | Total Renal Care Inc | Clinic/Center | 8260 N Booth Ave, Kansas City, MO 64158-7201 | 2015-05-06 |
| 1285990168 | Lone Dialysis LLC | Clinic/Center | 4407 E 50th Ter, Kansas City, MO 64130-2855 | 2012-04-05 |
| 1679734263 | Total Renal Care Inc | Clinic/Center | 5001 State Ave, Kansas City, KS 66102 | 2008-06-17 |
| 1518142710 | Isd Kansas City LLC | Clinic/Center | 3947 Broadway St, Kansas City, MO 64111-2516 | 2008-01-07 |
| 1376740555 | Nra Ukmc Kansas LLC | Clinic/Center | 6401 Parallel Parkway, Kansas City, KS 66102-1042 | 2007-06-29 |
| 1396837803 | Wyandotte Central Dialysis LLC | Clinic/Center | 3737 State Ave, Kansas City, KS 66102-3830 | 2006-09-29 |
| 1932211737 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 2502 Summit St, Kansas City, MO 64108-2427 | 2006-08-31 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66103 |
Please comment or provide details below to improve the information on CADDOAN DIALYSIS 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.