GREENACRES DIALYSIS CENTER LLC (NPI# 1376885228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376885228 |
| Entity Type | Organization |
| Organization Name | GREENACRES DIALYSIS CENTER LLC |
| Practice Address |
5702 Lake Worth Rd Suite 1 Greenacres FL 33463-4522 |
| Practice Telephone | 5613579547 |
| Practice Fax Number | 5613579541 |
| Mailing Telephone | 5613579547 |
| Mailing Fax Number | 5613579541 |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2020-03-17 |
| Authorized Official Name | SHARI K 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RE0040 | 05 |
| Street Address |
5702 LAKE WORTH RD SUITE 1 |
| City | GREENACRES |
| State | FL |
| Zip Code | 33463-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063613933 | Aa Therapy Center Inc0rporated | Clinic/Center | 5702 Lake Worth Rd, Suite 11, Greenacres, FL 33463-3269 | 2007-05-30 |
| 1699020040 | Friend of A Friend, Inc. | In Home Supportive Care | 5702 Lake Worth Rd, Suite 7, Greenacres, FL 33463-4522 | 2012-07-20 |
| 1548443922 | Etty Baker | Dietitian, Registered | 5702 Lake Worth Rd, Greenacres, FL 33463-4522 | 2007-12-09 |
| 1912103789 | Milton Kaufman | Occupational Therapist | 5702 Lake Worth Rd, Suite 11, Greenacres, FL 33463-3269 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647215 | Matthew Inaba Pickron | Dentist | 6476 Lake Worth Rd, Lake Worth, FL 33463 | 2020-10-21 |
| 1750992228 | Janet Arlene Meikle | Nurse's Aide | 5500 Albin Drive, Greenacres, FL 33463 | 2020-08-10 |
| 1205478955 | Nadine Pierre Jean | Nurse Practitioner | 5333 Island Gypsy Drive, Green Acres, FL 33463 | 2019-10-15 |
| 1427537372 | Dorothy Carol Rose Smith | Speech-Language Pathologist | 6200 Grand Cypress Circle, Lake Worth, FL 33463 | 2018-08-11 |
| 1366930059 | Family Care Rx, LLC | Pharmacy | 6428 Melaleuca Ln, Greenacres, FL 33463 | 2018-04-27 |
| 1134616956 | Lianely Marciante | Nurse Practitioner | 6424 Grand Cypress Cir, Lake Worth, FL 33463 | 2018-04-17 |
| 1174039960 | Marigold Nursing, LLC | Registered Nurse | 3900 Woodlake Blvd., Suite 200-13, Lake Worth, FL 33463 | 2017-12-16 |
| 1295245512 | Jocelyn Augustin | Physical Therapist | 5026 Sabreline Terrace, Green Acres, FL 33463 | 2017-10-02 |
| 1922527662 | Victoria Johnson | Licensed Practical Nurse | 6166 Plains Drive, Lake Worth, FL 33463 | 2017-09-13 |
| 1346764123 | Tdc Lantana LLC | Clinic/Center | 6346 Lantana Rd Suite 68, Lake Worth, FL 33463 | 2017-08-02 |
| Find all providers in zip 33463 | ||||
| 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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| 1538773411 | 5072020, LLC | Clinic/Center | 2675 Winkler Ave Ste 130, Fort Myers, FL 33901-9362 | 2020-09-08 |
| 1750992814 | Swain Dialysis Renal Center | Clinic/Center | 1923 Nw 43rd St, Miami, FL 33142-4777 | 2020-08-12 |
| 1396355525 | Kidney Partners Coral Gables LLC | Clinic/Center | 835 Sw 37th Ave, Miami, FL 33135-4289 | 2020-08-03 |
| 1427668870 | Dialysis Spa, LLC | Clinic/Center | 2040 Ne 163rd St Ste 206, North Miami Beach, FL 33162-4953 | 2020-07-31 |
| 1285250522 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 775 Gateway Dr Ste 1010, Altamonte Springs, FL 32714-1524 | 2020-06-23 |
| 1992321244 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 | 2020-06-23 |
| 1023630886 | Fresenius Medical Care Apollo Beach, LLC | Clinic/Center | 3002 E College Ave, Ruskin, FL 33570-5220 | 2020-05-14 |
| 1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
| 1487274734 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
| City | GREENACRES |
| Zip Code | 33463 |
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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.