KENTUCKY RENAL CARE GROUP, LLC (NPI# 1619089430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619089430 |
| Entity Type | Organization |
| Organization Name | KENTUCKY RENAL CARE GROUP, LLC |
| Other Organization Name | KENTUCKY RENAL CARE - LEXINGTON NORTH |
| Practice Address |
1610 Leestown Rd Lexington KY 40511-2142 |
| Practice Telephone | 8592540671 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7814029000 |
| 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 |
|---|---|
| KENTUCKY RENAL CARE - LEXINGTON NORTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700998523 | Kentucky Renal Care Group, LLC | Clinic/Center | 1101 Winchester Rd, Suite 100, Lexington, KY 40505-4028 | 2006-08-31 |
| Street Address |
1610 LEESTOWN RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40511-2142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278915 | Amy H Ward | Counselor | 1382 Bull Lea Road, Lexington, KY 40511 | 2019-01-03 |
| 1295233104 | Coventry Oak Elementary School | Public Health or Welfare | 2441 Huntly Place, Lexington, KY 40511 | 2018-01-25 |
| 1881192789 | The Stables (school) | Public Health or Welfare | 4089 Iron Works Pike, Lexington, KY 40511 | 2018-01-25 |
| 1124526033 | Garrett Morgan Elementary School | Public Health or Welfare | 1150 Passage Mound Way, Lexington, KY 40511 | 2018-01-25 |
| 1760903520 | Taylor Bowman | Optometrist | 2500 Leestown Road, Lexington, KY 40511 | 2017-07-03 |
| 1982134409 | Amy Beth Powers | Counselor | 455 Park Place, Suite 130, Lexington, KY 40511 | 2017-06-18 |
| 1336695196 | Life Navigation Services, LLC | Community/Behavioral Health | 348 Mcconnells Trace #102, Lexington, KY 40511 | 2016-08-31 |
| 1730545989 | Delmetria Cayson Combs | Counselor | 1374 Bull Lea Road, Lexington, KY 40511 | 2016-01-04 |
| 1720456080 | Lisa Higgins | Case Manager/Care Coordinator | 1351 Newtown Pike #5, Bluegrass, Lexington, KY 40511 | 2015-09-03 |
| 1346500766 | Rachel Elaine Clark | Counselor | 1351 Newtown Pike, Bldg 4, Lexington, KY 40511 | 2012-05-18 |
| Find all providers in zip 40511 | ||||
| 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 |
|---|---|---|---|---|
| 1730644246 | Lanier Dialysis, LLC | Clinic/Center | 5552 Platt Springs Rd, Lexington, SC 29073-7518 | 2019-02-08 |
| 1932604527 | Isd Renal Inc | Clinic/Center | 5506 Platt Springs Rd, Lexington, SC 29073-7518 | 2018-03-27 |
| 1518327048 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 978 Chas Dr, Lexington, KY 40515-1414 | 2016-02-25 |
| 1710327820 | Total Renal Care Inc | Clinic/Center | 2130 Nicholasville Rd Ste 5, Lexington, KY 40503-2520 | 2013-07-03 |
| 1881925790 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 3284 Eagle View Ln Ste 120, Lexington, KY 40509-1851 | 2010-01-18 |
| 1144465360 | Lexington Dialysis LLC | Clinic/Center | 1745 Alysheba Way, Lexington, KY 40509-9013 | 2008-12-03 |
| 1306916028 | Lexington Clinic Kidney Center | Clinic/Center | 350 Elaine Dr, Suite 200, Lexington, KY 40504-2741 | 2006-11-09 |
| 1073530713 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 131 Whispering Winds Dr, Lexington, SC 29072-3869 | 2006-07-17 |
| 1770516254 | Dialysis Clinic Inc. | Clinic/Center | 870 W Church St, Suite C, Lexington, TN 38351-1741 | 2006-07-08 |
| 1841223229 | Dialysis Clinic Inc. | Clinic/Center | 2374 Professional Heights Drive, Lexington, KY 40503 | 2006-07-08 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on KENTUCKY RENAL CARE GROUP, 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.