RAI CARE CENTERS OF NEBRASKA II, LLC (NPI# 1548354301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548354301 |
Entity Type | Organization |
Organization Name | RAI CARE CENTERS OF NEBRASKA II, LLC |
Other Organization Name | RAI-NORTH HEALTHY WAY-FREMONT |
Practice Address |
2660 North Healthy Way Fremont NE 68025-2318 |
Mailing Address |
1550 W. Mcewen Drive Suite 500 Franklin TN 37067-1731 |
Practice Telephone | 4027211158 |
Practice Fax Number | 4027210324 |
Mailing Telephone | 6156611100 |
Mailing Fax Number | 6155073300 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2011-02-15 |
Authorized Official Name | MR. JON M SUNDOCK (VICE PRESIDENT) |
Authorized Official Telephone | 6155073307 |
Is Organization Subpart | Y |
Parent Organization Name | RENAL ADVANTAGE 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 |
---|---|---|---|
NE | BCBS | 60102 | 01 |
NE | JOHN DEERE | A6810501 | 01 |
NE | 10025309100 | 05 |
Other Name | Type Code |
---|---|
RAI-North Healthy Way-Fremont | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295829869 | Rai Care Centers of Nebraska II, LLC | Clinic/Center | 5084 Ames Ave., Omaha, NE 68104-2323 | 2006-10-03 |
1295829877 | Rai Care Centers of Nebraska II, LLC | Clinic/Center | 4411 Center Street, Suite A, Omaha, NE 68105-2696 | 2006-10-03 |
Street Address |
2660 NORTH HEALTHY WAY |
City | FREMONT |
State | NE |
Zip Code | 68025-2318 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
Find all providers in zip 68025 |
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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---|---|---|---|---|
1467955591 | Dialysis Care Center Fremont LLC | Clinic/Center | 1454 W. Main St, Fremont, MI 49412-0175 | 2018-03-15 |
1124380456 | Kinswa Dialysis LLC | Clinic/Center | 100 Pinnacle Dr, Fremont, OH 43420-7400 | 2012-06-12 |
1407130602 | Walker Dialysis LLC | Clinic/Center | 2599 Stevenson Blvd, Fremont, CA 94538-2315 | 2011-10-06 |
1831100270 | Bio-medical Applications of Fremont Inc | Clinic/Center | 39505 Paseo Padre Pkwy, Fremont, CA 94538-2391 | 2006-08-11 |
1962464388 | Dva Renal Healthcare, Inc | Clinic/Center | 1949 E 23rd Ave S, Fremont, NE 68025-2452 | 2006-04-03 |
1629039144 | Dva Renal Healthcare Inc | Clinic/Center | 1317 W Main St, Fremont, MI 49412-1478 | 2006-04-01 |
1144292186 | Wellbound of Menlo Park LLC | Clinic/Center | 39510 Paseo Padre Pkwy, Suite 100, Fremont, CA 94538-4707 | 2006-02-03 |
1992776132 | Dialysis Centers of Northwest Ohio, Ltd. | Clinic/Center | 2400 Enterprise St, Fremont, OH 43420-8550 | 2006-01-27 |
1730472507 | Walker Dialysis LLC | Clinic/Center | 39355 California St, Ste 101, Fremont, CA 94538-1447 | 2011-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932644127 | Renal Care Group of The Midwest, Inc. | Clinic/Center | 15801 West Dodge Road, Omaha, NE 68118 | 2016-12-27 |
1669826103 | Renal Treatment Centers-illinois, Inc. | Clinic/Center | 5200 Hospital Pkwy, Beatrice, NE 68310-6909 | 2016-04-21 |
1598006611 | Rai Care Centers of Nebraska II LLC | Clinic/Center | 2916 S 84th St, Omaha, NE 68124-3213 | 2013-03-14 |
1659640522 | Renal Treatment Centers Illinois Inc | Clinic/Center | 610 S 13th St, Norfolk, NE 68701-4969 | 2011-12-22 |
1013294156 | Renal Treatment Centers Illinois Inc | Clinic/Center | 7454 N 30th St, Omaha, NE 68112-2722 | 2011-11-03 |
1760766984 | Renal Treatment Centers Illinois Inc | Clinic/Center | 6610 S 168th St, Ste 8, Omaha, NE 68135-5412 | 2011-10-06 |
1356532782 | Dialysis Center of Lincoln Inc | Clinic/Center | 5355 S 16th St, Lincoln, NE 68512-1277 | 2007-08-09 |
1295829869 | Rai Care Centers of Nebraska II, LLC | Clinic/Center | 5084 Ames Ave., Omaha, NE 68104-2323 | 2006-10-03 |
1295829877 | Rai Care Centers of Nebraska II, LLC | Clinic/Center | 4411 Center Street, Suite A, Omaha, NE 68105-2696 | 2006-10-03 |
1396838991 | Renal Treatment Centers Illinois Inc | Clinic/Center | 3401 Plantation Drive, Ste 140, Lincoln, NE 68516-4712 | 2006-10-02 |
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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.