COMPREHENSIVE DIALYSIS CARE LLC (NPI# 1548562499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548562499 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE DIALYSIS CARE LLC |
| Practice Address |
61 Pomeroy Ave Meriden CT 06450 |
| Mailing Address |
61 Pomeroy Ave Meriden CT 06450-7482 |
| Practice Telephone | 2032381962 |
| Practice Fax Number | 2032381961 |
| Mailing Telephone | 2032381962 |
| Mailing Fax Number | 2032381961 |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | SHARI K COUSINS (SR. VP OF CLINICAL & REGULATORY) |
| Authorized Official Telephone | 9789223080 |
| 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 |
|---|---|---|---|
| CT | 008032305 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 61 Pomeroy Ave, Meriden, CT 06450 | 2032381962 | 2032381961 |
| Street Address |
61 POMEROY AVE |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043394083 | Christina A Plantier | Physician Assistant | 61 Pomeroy Ave, Meriden, CT 06450-7101 | 2006-10-25 |
| 1912428202 | Brad Petitti | Physician Assistant | 61 Pomeroy Ave, Meriden, CT 06450-7482 | 2017-06-28 |
| 1902268675 | Sajidmahmad Saeed Bhamji | Family Medicine | 61 Pomeroy Ave, Meriden, CT 06450-7482 | 2016-03-22 |
| 1639406044 | Connecticut Sleep Medicine, LLC | Internal Medicine | 61 Pomeroy Ave, Meriden, CT 06450-7101 | 2009-11-05 |
| 1629253976 | Suanne Kolesnik | Physician Assistant | 61 Pomeroy Ave, Meriden, CT 06450-7101 | 2008-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
| 1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
| 1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
| 1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
| 1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
| 1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
| 1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
| 1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
| Find all providers in zip 06450 | ||||
| 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 |
|---|---|---|---|---|
| 1598798969 | Bio-medical Applications of Connecticut, Inc. | Clinic/Center | 377 Research Pkwy, Meriden, CT 06450-7155 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750939963 | Total Renal Care Inc | Clinic/Center | 7 Cambridge Dr Ste 105, Trumbull, CT 06611-4763 | 2019-08-30 |
| 1255839494 | Total Renal Care Inc | Clinic/Center | 425 Hawley Ln, Stratford, CT 06614-1514 | 2018-01-23 |
| 1366829343 | Wallingford Dialysis Care LLC | Clinic/Center | 720 N Main Street Ext, Suites 1 - 3, Wallingford, CT 06492-2417 | 2015-04-29 |
| 1417345828 | Tross Dialysis LLC | Clinic/Center | 164 Mount Pleasant Rd, Newtown, CT 06470-1408 | 2015-01-07 |
| 1184031437 | Argyle Dialysis LLC | Clinic/Center | 51 Palomba Dr, Enfield, CT 06082-3801 | 2014-07-18 |
| 1578838405 | Riverside Radiology Consultants, LLC | Clinic/Center | 65 Harvard Ave, Stamford, CT 06902-5564 | 2012-03-10 |
| 1952616633 | Total Renal Care Inc | Clinic/Center | 445e Willard Ave, Newington, CT 06111-2318 | 2010-08-18 |
| 1013228816 | Bio-medical Applications of Connecticut, Inc. | Clinic/Center | 725 Park Ave, Bloomfield, CT 06002-2402 | 2010-06-25 |
| 1386896587 | St. Raphael Dialysis Center Partnership | Clinic/Center | 266 State St, North Haven, CT 06473-2154 | 2008-10-21 |
| 1558524512 | Total Renal Care Inc | Clinic/Center | 427 Stillson Rd, Fairfield, CT 06824-3153 | 2008-07-09 |
| Find all providers with the same taxonomy | ||||
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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.