LAKE CHARLES DIALYSIS CENTER LLC (NPI# 1306848205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306848205 |
| Entity Type | Organization |
| Organization Name | LAKE CHARLES DIALYSIS CENTER LLC |
| Practice Address |
1801 Oak Park Blvd Lake Charles LA 70601 |
| Mailing Address |
Po Box 4789 Lake Charles LA 70606-4789 |
| Practice Telephone | 3374789585 |
| Practice Fax Number | 3374790338 |
| Mailing Telephone | 3374789585 |
| Mailing Fax Number | 3374790338 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TONY W LEUNG (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3374789585 |
| Authorized Official Credential | MD |
| 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 |
101 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1654205 | 05 |
| Street Address |
1801 OAK PARK BLVD |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033727490 | Decora R Franklin | Nurse Practitioner | 1801 Oak Park Blvd, Lake Charles, LA 70601-8900 | 2020-07-21 |
| 1134528623 | Healogics Specialty Physicians of Louisiana, LLC | Preventive Medicine | 1801 Oak Park Blvd, Lake Charles, LA 70601-8900 | 2014-08-20 |
| 1497084073 | Diabetes Education of Lake Charles Memorial Hospital | General Acute Care Hospital | 1801 Oak Park Blvd, Lake Charles, LA 70601-8900 | 2009-12-10 |
| 1932359635 | Shaina Celeste Elliott | Dietitian, Registered | 1801 Oak Park Blvd, Lake Charles, LA 70601-8900 | 2008-09-30 |
| 1073702866 | Mary Ramsey Keller | Dietitian, Registered | 1801 Oak Park Blvd, Lake Charles, LA 70601-8900 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| 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 |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1538604798 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 3214 Venture Park Dr, Lake Charles, LA 70615-5443 | 2016-12-27 |
| 1558698993 | Bio-medical Applications of Louisiana LLC | Clinic/Center | 2309 Ryan St, Lake Charles, LA 70601-7319 | 2009-11-05 |
| 1154380228 | Dva Renal Healthcare Inc | Clinic/Center | 300 18th St, Lake Charles, LA 70601-7342 | 2006-03-18 |
| 1750340816 | Dva Renal Healthcare Inc | Clinic/Center | 4015 Common St, Lake Charles, LA 70607-2942 | 2006-03-18 |
| 1346775210 | Applegate Health Services Inc | Clinic/Center | 617 W Prien Lake Rd, Suite L, Lake Charles, LA 70601-8386 | 2017-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079085 | Fresenius Medical Care Broussard, LLC | Clinic/Center | 138 Youngsville Highway, Lafayette, LA 70508-4536 | 2020-09-29 |
| 1700404381 | Fresenius Medical Care Ouachita Home, LLC | Clinic/Center | 401 Thomas Rd Ste D, West Monroe, LA 71292-7902 | 2020-07-09 |
| 1255997110 | Dialysis Clinic Inc | Clinic/Center | 222 Saint Nazaire Rd, Broussard, LA 70518-4205 | 2019-05-16 |
| 1710457544 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 5820 Masonic Dr, Alexandria, LA 71301-2634 | 2018-12-05 |
| 1215407101 | Bio-medical Applications of Louisiana LLC | Clinic/Center | 634 Tunica Dr W, Marksville, LA 71351-2629 | 2018-12-04 |
| 1790263697 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 6101 Elysian Fields Ave, New Orleans, LA 70122-4209 | 2018-08-02 |
| 1881192540 | Isd Renal Inc | Clinic/Center | 3999 Highway 190 East Service Rd Ste A, Covington, LA 70433-4914 | 2018-01-29 |
| 1629583281 | Bio-medical Applications Louisiana, LLC | Clinic/Center | 2500 Louisiana Ave, New Orleans, LA 70115-6036 | 2017-12-05 |
| 1396255311 | Dialysis Clinic Inc | Clinic/Center | 2020 Bert Kouns Industrial Loop, Shreveport, LA 71118-3315 | 2017-10-04 |
| 1750808762 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 2908 General Degaulle Dr, New Orleans, LA 70114-6440 | 2017-08-30 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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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.