VISTACARE CONTINUUM SERVICES, LLC (NPI# 1518477199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518477199 |
| Entity Type | Organization |
| Organization Name | VISTACARE CONTINUUM SERVICES, LLC |
| Other Organization Name | VISTACARE DIALYSIS CENTER |
| Practice Address |
300 Broadway Newark NJ 07104-8000 |
| Practice Telephone | 9734844222 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Authorized Official Name | BORUCH KLEINMAN (MBR) |
| Authorized Official Telephone | 9734844222 |
| 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 |
| Other Name | Type Code |
|---|---|
| Vistacare Dialysis Center | Doing Business As Name - Organization |
| Street Address |
300 BROADWAY |
| City | NEWARK |
| State | NJ |
| Zip Code | 07104-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437620960 | Dave Onofre | Occupational Therapy Assistant | 300 Broadway, Newark, NJ 07104-8000 | 2018-12-10 |
| 1427428325 | Fresenius Medical Care New Vista, LLC | Clinic/Center | 300 Broadway, Ste B, Newark, NJ 07104-8000 | 2015-10-05 |
| 1972924298 | Mental Specialty PC | Counselor | 300 Broadway, Newark, NJ 07104-8000 | 2014-01-05 |
| 1568715845 | Daniel Blane | Social Worker | 300 Broadway, Newark, NJ 07104-8000 | 2012-10-24 |
| 1518235399 | Superlative Therapy PC | Specialist | 300 Broadway, Newark, NJ 07104-4003 | 2011-12-07 |
| 1750379517 | 300 Broadway Healthcare Center LLC | Skilled Nursing Facility | 300 Broadway, Newark, NJ 07104-4003 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
| 1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
| 1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
| 1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
| 1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
| 1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
| 1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
| 1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
| 1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
| Find all providers in zip 07104 | ||||
| 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 |
|---|---|---|---|---|
| 1821646035 | Isd Renal Inc | Clinic/Center | 262 Broad St, Newark, NJ 07104-3809 | 2019-08-30 |
| 1841702578 | Bio Medical Applications of New Jersey, Inc. | Clinic/Center | 415 Elizabeth Avenue, Newark, NJ 07112-2668 | 2017-11-03 |
| 1578087508 | Freedom Center of Newark, LLC | Clinic/Center | 305 W Shore Blvd, Newark, NY 14513-1261 | 2017-08-01 |
| 1003249137 | American Universal LLC | Clinic/Center | 1415 Pulaski Hwy, Suite B, Newark, DE 19702-5104 | 2013-08-13 |
| 1679913875 | New York Dialysis Services, Inc. | Clinic/Center | 305 West Shore Blvd., Newark, NY 14513-1261 | 2013-07-02 |
| 1598044323 | Bio-medical Applications of Delaware, Inc. | Clinic/Center | 4923 Ogletown Stanton Rd Ste 210, Newark, DE 19713-2081 | 2011-08-10 |
| 1801024096 | Renal Care Group Maplewood, LLC | Clinic/Center | 248 South Street, Newark, NJ 07114-2911 | 2009-06-25 |
| 1194970699 | Cherry Valley Dialysis LLC | Clinic/Center | 1627 W Main St, Newark, OH 43055-1345 | 2008-11-25 |
| 1205930070 | Bio Medical Applications of New Jersey, Inc. | Clinic/Center | 155 Berkeley Ave, Newark, NJ 07107-2634 | 2006-09-12 |
| 1659475424 | National Medical Care, Inc. | Clinic/Center | 63 University Plz, Newark, DE 19702-1549 | 2006-09-12 |
| Find all providers in NEWARK | ||||
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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.