DCA OF SOUTH AIKEN LLC (NPI# 1417907809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417907809 |
Entity Type | Organization |
Organization Name | DCA OF SOUTH AIKEN LLC |
Other Organization Name | U.S. RENAL CARE SOUTH AIKEN DIALYSIS |
Practice Address |
169 Crepe Myrtle Ct Aiken SC 29803-7543 |
Mailing Address |
Po Box 19119 Jonesboro AR 72403-6601 |
Practice Telephone | 7177309701 |
Practice Fax Number | 7177306223 |
Mailing Telephone | 8709315400 |
Mailing Fax Number | 8709315418 |
Enumeration Date | 2006-05-10 |
Last Update Date | 2018-06-21 |
Authorized Official Name | MR. THOMAS L. WEINBERG (VICE PRESIDENT & SECRETARY) |
Authorized Official Telephone | 2147362700 |
Is Organization Subpart | Y |
Parent Organization Name | U S RENAL CARE INC |
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 | ERD156 | 05 |
Other Name | Type Code |
---|---|
U.S. Renal Care South Aiken Dialysis | Doing Business As Name - Organization |
Street Address |
169 CREPE MYRTLE CT |
City | AIKEN |
State | SC |
Zip Code | 29803-7543 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871147454 | Augusta Oncology Associates, P.C. | Specialist | 222 University Parkway, Aiken, SC 29803 | 2019-07-31 |
1356804546 | Ebony Johnson | Home Health Aide | 942 C Dougherty Rd, Aiken, SC 29803 | 2019-04-13 |
1689144230 | Tabatha Lee Maddox | Occupational Therapist | 550 East Gate Dr, Aiken, SC 29803 | 2018-11-27 |
1962995100 | Pvd Internal Medicine Associates LLC | Internal Medicine | 440 Society Hill Dr Ste B, Aiken, SC 29803 | 2018-06-12 |
1689197691 | Trent David Yoder | Dentist | 174 Crepe Myrtle Drive, Aiken, SC 29803 | 2017-07-21 |
1770039331 | Lauren Reigot | Physical Therapist | 6140 Woodside Executive Ct., Aiken, SC 29803 | 2016-09-01 |
1851747190 | Umg Primary Care South Carolina, LLC | Family Medicine | 1023 Silver Bluff Road, Aiken, SC 29803 | 2016-05-05 |
1912375759 | Lisa G Browning | Nurse Practitioner | 550 E. Gate Drive, Aiken, SC 29803 | 2015-09-10 |
1346682754 | Tyresia Jovon White | Dentist | 440 Society Hill Dr Ste 201, Aiken, SC 29803 | 2013-07-25 |
1528327483 | Caresouth Hospice, LLC | Hospice Care, Community Based | 37 Varden Drive, Suite B, Aiken, SC 29803 | 2012-05-14 |
Find all providers in zip 29803 |
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 |
---|---|---|---|---|
1497271704 | Usrc South Aiken LLC | Clinic/Center | 169 Crepe Myrtle Dr, Aiken, SC 29803-7576 | 2017-08-17 |
1629406384 | Usrc North Aiken, LLC | Clinic/Center | 208 University Parkway, Suite 208, Aiken, SC 29801 | 2013-10-16 |
1053374660 | Dca of Aiken, LLC | Clinic/Center | 113 Gregg Ave, Aiken, SC 29801-2797 | 2006-04-07 |
1477515575 | Dva Healthcare Renal Care Inc | Clinic/Center | 775 Medical Park Dr, Aiken, SC 29801-6306 | 2006-04-04 |
1376949610 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 690 Medical Park Dr, Suite 150, Aiken, SC 29801-5385 | 2014-11-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376160275 | Rco of Moncks Corner, Sc LLC | Clinic/Center | 422 Drive In Lane, Moncks Corner, SC 29461-0000 | 2020-06-26 |
1912536384 | Traville Dialysis, LLC | Clinic/Center | 196 Sloane Garden Rd, Boiling Springs, SC 29316-1929 | 2020-04-07 |
1992344196 | Sunrays Dialysis, LLC | Clinic/Center | 8080 Augusta Rd, Piedmont, SC 29673-9363 | 2020-01-06 |
1407494362 | Dialysis Center of Carolina LLC | Clinic/Center | 325 W Wesmark Blvd Ste A, Sumter, SC 29150-1987 | 2019-12-11 |
1194384701 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 214 Dawson Rd, Columbia, SC 29223-1704 | 2019-06-07 |
1740845445 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 300 Baxter Brown Way, Summerville, SC 29486-8105 | 2019-05-08 |
1730644246 | Lanier Dialysis, LLC | Clinic/Center | 5552 Platt Springs Rd, Lexington, SC 29073-7518 | 2019-02-08 |
1568945210 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 5301 Highway 321, Gaston, SC 29053-9196 | 2018-09-10 |
1932604527 | Isd Renal Inc | Clinic/Center | 5506 Platt Springs Rd, Lexington, SC 29073-7518 | 2018-03-27 |
1740785518 | Jabine Dialysis, LLC | Clinic/Center | 3337 Highway 72-221 E, Greenwood, SC 29649-9772 | 2018-03-26 |
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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.