DVA RENAL HEALTHCARE INC (NPI# 1508828765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508828765 |
| Entity Type | Organization |
| Organization Name | DVA RENAL HEALTHCARE INC |
| Other Organization Name | MOUNTAIN VIEW DIALYSIS |
| Practice Address |
2881 Business Park Ct Ste 130 Las Vegas NV 89128-9019 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7023419551 |
| Practice Fax Number | 7023419379 |
| Mailing Telephone | 6153204435 |
| Mailing Fax Number | 3032097821 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2014-02-28 |
| 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 |
2201ESR12 | NV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 004502010 | 05 | |
| AZ | 552449 | 05 | |
| WI | 82537800 | 05 | |
| CA | XCDC00691 | 05 |
| Other Name | Type Code |
|---|---|
| Mountain View 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 |
2881 BUSINESS PARK CT STE 130 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-9019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720071574 | Patrick Mcguire Hutt | Physical Therapist | 2881 Business Park Ct, Ste 100, Las Vegas, NV 89128-9018 | 2005-08-26 |
| 1508309071 | Kelcie Leeming | Physical Medicine & Rehabilitation | 2881 Business Park Ct, Las Vegas, NV 89128-9018 | 2016-11-30 |
| 1407090442 | Target Group, Inc. | In Home Supportive Care | 2881 Business Park Ct, Suite 226, Las Vegas, NV 89128-9018 | 2009-04-21 |
| 1851568810 | Sleepmed Therapies Inc | Durable Medical Equipment & Medical Supplies | 2881 Business Park Ct, Suite 224, Las Vegas, NV 89128-9018 | 2008-05-09 |
| 1154398444 | Ruel Roy Tandog | Physical Therapist | 2881 Business Park Ct, Suite 100, Las Vegas, NV 89128-9018 | 2006-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| 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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|---|---|---|---|---|
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| 1265050264 | Puridia LLC | Clinic/Center | 2121 E Flamingo Rd Ste 102, Las Vegas, NV 89119-5123 | 2020-07-07 |
| 1184272460 | Fresenius Medical Care Nkdhc, LLC | Clinic/Center | 255 E Warm Springs Rd, Las Vegas, NV 89119-4233 | 2019-08-29 |
| 1528629805 | Renwick Dialysis LLC | Clinic/Center | 2350 Stockton Ave, Las Vegas, NV 89104-3823 | 2019-06-26 |
| 1245681170 | Ramsey Dialysis LLC | Clinic/Center | 1750 E Desert Inn Rd Ste 100, Las Vegas, NV 89169-3202 | 2016-06-22 |
| 1861875585 | Frontier Dialysis, LLC | Clinic/Center | 7316 W Cheyenne Ave, Las Vegas, NV 89129-6201 | 2015-06-30 |
| 1609217157 | Fresenius Medical Care West Sahara, LLC | Clinic/Center | 1581 Mount Mariah Dr, Suite 100, Las Vegas, NV 89106 | 2013-07-12 |
| 1134493265 | Fresenius Medical Care Ne Las Vegas, LLC | Clinic/Center | 321 N Nellis Blvd, Las Vegas, NV 89110-5323 | 2012-03-07 |
| 1881961977 | Sherman Dialysis LLC | Clinic/Center | 3291 N Buffalo Dr Bldg A, Suite 150, Las Vegas, NV 89129-7441 | 2011-11-17 |
| 1952698417 | Isd Spring Valley LLC | Clinic/Center | 3855 S Jones Blvd, Suite 101, Las Vegas, NV 89103-2296 | 2011-07-06 |
| Find all providers in LAS VEGAS | ||||
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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.