CENTRAL CAROLINA DIALYSIS CENTERS LLC (NPI# 1417916909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417916909 |
| Entity Type | Organization |
| Organization Name | CENTRAL CAROLINA DIALYSIS CENTERS LLC |
| Other Organization Name | COPPERFIELD DIALYSIS |
| Practice Address |
1030 Vinehaven Dr Ne Concord NC 28025-2438 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7047957552 |
| Practice Fax Number | 7047957569 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2019-08-13 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3412631 | 05 |
| Other Name | Type Code |
|---|---|
| Copperfield Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447219969 | Central Carolina Dialysis Centers LLC | Clinic/Center | 1607 N Main St, Kannapolis, NC 28081-2317 | 2006-03-22 |
| Street Address |
1030 VINEHAVEN DR NE |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| 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 |
|---|---|---|---|---|
| 1437683877 | Fresenius Medical Care Diablo Nephrology Clinics, LLC | Clinic/Center | 2371 Systron Drive, Concord, CA 94520 | 2017-04-12 |
| 1598903163 | Total Renal Care of North Carolina LLC | Clinic/Center | 3310 Perry St, Concord, NC 28027-3901 | 2009-02-04 |
| 1891704508 | Bio-medical Applications of New Hampshire, Inc. | Clinic/Center | 248 Pleasant St Bldg Steg400, Concord, NH 03301-2588 | 2006-08-05 |
| 1689691321 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 217 Branchview Dr Se, Concord, NC 28025-3578 | 2006-07-17 |
| 1427080290 | Total Renal Care of North Carolina LLC | Clinic/Center | 217 Branchview Drive Se, Concord, NC 28025-3578 | 2006-07-06 |
| 1013978469 | Renal Treatment Centers California Inc. | Clinic/Center | 2300 Stanwell Dr, Ste C, Concord, CA 94520-4841 | 2006-03-28 |
| 1447465687 | Cmc Northeast, Inc. | Clinic/Center | 920 Church St N, Concord, NC 28025-2927 | 2007-05-11 |
| 1316970890 | Dialysis Clinic Inc. | Clinic/Center | 56 Winthrop St, Unit 2a, Concord, MA 01742-2076 | 2006-07-08 |
| 1841297553 | Cabarrus Memorial Hospital | Clinic/Center | 920 Church St N, Concord, NC 28025-2927 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695164 | North Davidson Dialysis Center of Wake Forest University | Clinic/Center | 295 Millers Creek Drive, Winston Salem, NC 27127 | 2020-10-08 |
| 1730793571 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1422 Meadowbrook Rd, Rocky Mount, NC 27801-6700 | 2020-08-31 |
| 1114546298 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 67 Jr Rd Ste 1200, Selma, NC 27576-3458 | 2020-04-09 |
| 1972139640 | Fresenius Medical Care Holly Springs, LLC | Clinic/Center | 5045 Old Raleigh Rd, Cary, NC 27511-6479 | 2020-03-13 |
| 1679106900 | Total Renal Care of North Carolina, LLC | Clinic/Center | 614 S Cannon Blvd, Kannapolis, NC 28083 | 2020-02-14 |
| 1699318162 | Total Renal Care of North Carolina, LLC | Clinic/Center | 246 Olmsted Blvd Ste E, Pinehurst, NC 28374-6005 | 2019-10-28 |
| 1497398416 | Total Renal Care of North Carolina, LLC | Clinic/Center | 2621 Hendersonville Rd, Arden, NC 28704-9226 | 2019-10-22 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1962063156 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 565 Regency Blvd, Winterville, NC 28590-5503 | 2019-06-27 |
| 1295399343 | Total Renal Care of North Carolina, LLC | Clinic/Center | 219 Martin Luther King Jr Dr, Bladenboro, NC 28320 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CENTRAL CAROLINA DIALYSIS CENTERS 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.