DVA RENAL HEALTHCARE INC (NPI# 1306812771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306812771 |
| Entity Type | Organization |
| Organization Name | DVA RENAL HEALTHCARE INC |
| Other Organization Name | TORRINGTON DIALYSIS |
| Practice Address |
780 Litchfield St Ste 100 Torrington CT 06790 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8604960661 |
| Practice Fax Number | 8604960504 |
| Mailing Telephone | 6153204214 |
| Mailing Fax Number | 8669443352 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
0274 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1306812771 | 05 |
| Other Name | Type Code |
|---|---|
| Torrington Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629415609 | Dva Renal Healthcare Inc | Clinic/Center | 300 B 22nd St South, Birmingham, AL 35233-2209 | 2013-05-30 |
| 1164728408 | Dva Renal Healthcare Inc | Clinic/Center | 415 W Nc Hwy 54, Durham, NC 27713-7516 | 2011-02-03 |
| 1295983245 | Dva Renal Healthcare Inc | Clinic/Center | 1919 Charlotte Ave Ste 200, Nashville, TN 37203-2245 | 2008-09-03 |
| 1811171440 | Dva Renal Healthcare Inc | Clinic/Center | 300 W Broadway Ste 150, Council Bluffs, IA 51503-9077 | 2007-12-18 |
| 1881623585 | Dva Renal Healthcare Inc | Clinic/Center | 271 King St, Perth Amboy, NJ 08861-4488 | 2006-07-03 |
| 1164451852 | Dva Renal Healthcare Inc | Clinic/Center | 262 Texas Rd, Ste 101, Old Bridge, NJ 08857-4008 | 2006-07-03 |
| 1912936618 | Dva Renal Healthcare Inc | Clinic/Center | 1200 Randolph Rd, Muhlenburg Campus, Plainfield, NJ 07060-3361 | 2006-07-03 |
| 1346270782 | Dva Renal Healthcare Inc | Clinic/Center | 230 Van Sciver Pkwy, Willingboro, NJ 08046-1131 | 2006-07-03 |
| 1548299381 | Dva Renal Healthcare Inc | Clinic/Center | 29 Meridian Rd, Edison, NJ 08820-2823 | 2006-07-02 |
| 1548299373 | Dva Renal Healthcare Inc | Clinic/Center | 14-20 Prospect St, East Orange, NJ 07017-2238 | 2006-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DVA Renal Healthcare Inc. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
780 LITCHFIELD ST STE 100 |
| City | TORRINGTON |
| State | CT |
| Zip Code | 06790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760464903 | Jean K Evangelisti | Nurse Practitioner | 780 Litchfield St, Suite 200, Torrington, CT 06790-6268 | 2005-11-15 |
| 1841854874 | Hannah Catherine Schnepp | Physician Assistant | 780 Litchfield St, Torrington, CT 06790-6268 | 2019-04-25 |
| 1003362989 | Katie L Tichenor | Physician Assistant | 780 Litchfield St, Torrington, CT 06790 | 2016-08-30 |
| 1043504756 | Corey Michelle Teagarden | Obstetrics & Gynecology | 780 Litchfield St, Torrington, CT 06790-6268 | 2011-05-31 |
| 1699067314 | David J Ohotnicky | Nurse Practitioner | 780 Litchfield St, Torrington, CT 06790-6268 | 2011-05-13 |
| 1588810055 | George Sunny Pazhayattil | Internal Medicine | 780 Litchfield St, Suite 200, Torrington, CT 06790-6268 | 2008-08-14 |
| 1952514986 | Foothills Family Care LLC | Clinic/Center | 780 Litchfield St, Torrington, CT 06790-6268 | 2007-05-07 |
| 1962560458 | Nephrology Associates of Northwestern Connecticut LLP | Internal Medicine | 780 Litchfield St, Suite 200, Torrington, CT 06790-6268 | 2006-12-05 |
| 1407944689 | Diabetes and Endocrinology of Northwestern Connecticut | Internal Medicine | 780 Litchfield St, Torrington, CT 06790-6268 | 2006-10-11 |
| 1619065976 | Egils Knuts Bogdanovics | Internal Medicine | 780 Litchfield St, Torrington, CT 06790-6268 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606516 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1280 East Main Street, Torrington, CT 06790 | 2020-10-15 |
| 1477118214 | Heller Counseling Services LLC | Counselor | 100 Migeon Ave., Torrington, CT 06790 | 2019-05-07 |
| 1760964704 | Sheethal Joseph Mathew | Dental Hygienist | 49 South Main Street, Torrington, CT 06790 | 2018-09-06 |
| 1134607708 | Julia Baiju | Physical Therapist | 245 Alvord Park Rd Ste A2, Torrington, CT 06790 | 2018-08-05 |
| 1982194585 | Wellness At Home, LLC | Social Worker | 254 Eno Ave, Torrington, CT 06790 | 2018-05-18 |
| 1285142646 | A Step Up Counseling LLC | Counselor | 185 E Elm St, #2057, Torrington, CT 06790 | 2018-01-18 |
| 1093232597 | Joongwan Jay Kim | Pharmacist | 28 E Elm Street, Torrington, CT 06790 | 2017-08-25 |
| 1861869018 | Breanna M Berg | Physical Therapist | 30 Peck Road, Building #1; Suite 1101, Torrington, CT 06790 | 2015-08-24 |
| 1831570803 | Valerie Lange | Counselor | 326 Albany Turnpike, Canton, CT 06790 | 2015-06-15 |
| 1992120646 | Fitness Pantheon, LLC | Clinic/Center | 221 Water Street, Torrington, CT 06790 | 2014-03-04 |
| Find all providers in zip 06790 | ||||
| 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 |
|---|---|---|---|---|
| 1750939963 | Total Renal Care Inc | Clinic/Center | 7 Cambridge Dr Ste 105, Trumbull, CT 06611-4763 | 2019-08-30 |
| 1255839494 | Total Renal Care Inc | Clinic/Center | 425 Hawley Ln, Stratford, CT 06614-1514 | 2018-01-23 |
| 1366829343 | Wallingford Dialysis Care LLC | Clinic/Center | 720 N Main Street Ext, Suites 1 - 3, Wallingford, CT 06492-2417 | 2015-04-29 |
| 1417345828 | Tross Dialysis LLC | Clinic/Center | 164 Mount Pleasant Rd, Newtown, CT 06470-1408 | 2015-01-07 |
| 1184031437 | Argyle Dialysis LLC | Clinic/Center | 51 Palomba Dr, Enfield, CT 06082-3801 | 2014-07-18 |
| 1578838405 | Riverside Radiology Consultants, LLC | Clinic/Center | 65 Harvard Ave, Stamford, CT 06902-5564 | 2012-03-10 |
| 1952616633 | Total Renal Care Inc | Clinic/Center | 445e Willard Ave, Newington, CT 06111-2318 | 2010-08-18 |
| 1013228816 | Bio-medical Applications of Connecticut, Inc. | Clinic/Center | 725 Park Ave, Bloomfield, CT 06002-2402 | 2010-06-25 |
| 1386896587 | St. Raphael Dialysis Center Partnership | Clinic/Center | 266 State St, North Haven, CT 06473-2154 | 2008-10-21 |
| 1558524512 | Total Renal Care Inc | Clinic/Center | 427 Stillson Rd, Fairfield, CT 06824-3153 | 2008-07-09 |
| Find all providers with the same taxonomy | ||||
| City | TORRINGTON |
| Zip Code | 06790 |
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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.