OKEECHOBEE KIDNEY CENTER LLC (NPI# 1629476411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629476411 |
| Entity Type | Organization |
| Organization Name | OKEECHOBEE KIDNEY CENTER LLC |
| Practice Address |
201 Sw 16th St Okeechobee FL 34974-6117 |
| Practice Telephone | 8634677654 |
| Practice Fax Number | 8634679248 |
| Mailing Telephone | 8634677654 |
| Mailing Fax Number | 8634679248 |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2017-03-16 |
| Authorized Official Name | MR. JONATHAN WILCOX (CFO) |
| 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 |
| Street Address |
201 SW 16TH ST |
| City | OKEECHOBEE |
| State | FL |
| Zip Code | 34974-6117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760594501 | National Medical Care, Inc. | Clinic/Center | 201 Sw 16th St, Okeechobee, FL 34974-6117 | 2006-08-31 |
| 1851749535 | Markiv Consultants, LLC | General Practice | 201 Sw 16th St, Okeechobee, FL 34974-6117 | 2016-06-02 |
| 1871998559 | Florida Sunshine Diagnostics Inc | Clinical Medical Laboratory | 201 Sw 16th St, Okeechobee, FL 34974-6117 | 2014-10-24 |
| 1801989421 | National Medical Care, Inc. | Clinic/Center | 201 Sw 16th St, Okeechobee, FL 34974-6117 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609406339 | Deanna L. Ousley | Massage Therapist | 7768 Hwy 78 West, Okeechobee, FL 34974 | 2020-01-22 |
| 1538578422 | Jo Beth Hansford | Pharmacist | 3551 Us Hwy 441 S, Okeechobee, FL 34974 | 2014-08-05 |
| 1740608017 | Stephanie Sullivan | Speech-Language Pathologist | 3950 Sw 16th St, Okeechobee, FL 34974 | 2014-04-02 |
| 1730433665 | Lm Counseling Services, LLC. | Social Worker | 605 Sw Park Street, Suite 203, Okeechobee, FL 34974 | 2012-10-30 |
| 1891947461 | Big Lake Home Health Services of Glade County, Inc | Home Health | #7 Buckhead Ridge Road, Okeechobee, FL 34974 | 2008-10-15 |
| 1063675981 | Shirley's Personal Care Services of Okeechobee, Inc. | Home Health | 200 Southeast Third Street, Okeechobee, FL 34974 | 2008-07-10 |
| 1083889455 | David J. Underill Od | Optometrist | 520 South Parrott Ave, Okeechobee, FL 34974 | 2008-04-28 |
| 1679767404 | Jean M Drewski | Technician/Technologist | 520 So Parrott Ave, Optical Gallery, Okeechobee, FL 34974 | 2007-09-05 |
| 1699987776 | Hear Factor Dba Beltone Hearing Center | Specialist | 3268 Us Hwy 441 South, Okeechobee, FL 34974 | 2007-05-03 |
| 1285754119 | Melanie Virginie Mello | Nurse Practitioner | 17201 Civic St., Okeechobee, FL 34974 | 2007-04-02 |
| Find all providers in zip 34974 | ||||
| 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 |
|---|---|---|---|---|
| 1821383324 | Big Lake Kidney Center LLC | Clinic/Center | 3240 Highway 441 S, Okeechobee, FL 34974-6239 | 2011-06-13 |
| 1760594501 | National Medical Care, Inc. | Clinic/Center | 201 Sw 16th St, Okeechobee, FL 34974-6117 | 2006-08-31 |
| 1801989421 | National Medical Care, Inc. | Clinic/Center | 201 Sw 16th St, Okeechobee, FL 34974-6117 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496104 | Kidney Care Center of Winter Haven LLC | Clinic/Center | 1107 3rd St Sw Ste 9, Winter Haven, FL 33880-3912 | 2020-10-27 |
| 1538773411 | 5072020, LLC | Clinic/Center | 2675 Winkler Ave Ste 130, Fort Myers, FL 33901-9362 | 2020-09-08 |
| 1750992814 | Swain Dialysis Renal Center | Clinic/Center | 1923 Nw 43rd St, Miami, FL 33142-4777 | 2020-08-12 |
| 1396355525 | Kidney Partners Coral Gables LLC | Clinic/Center | 835 Sw 37th Ave, Miami, FL 33135-4289 | 2020-08-03 |
| 1427668870 | Dialysis Spa, LLC | Clinic/Center | 2040 Ne 163rd St Ste 206, North Miami Beach, FL 33162-4953 | 2020-07-31 |
| 1285250522 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 775 Gateway Dr Ste 1010, Altamonte Springs, FL 32714-1524 | 2020-06-23 |
| 1992321244 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 | 2020-06-23 |
| 1023630886 | Fresenius Medical Care Apollo Beach, LLC | Clinic/Center | 3002 E College Ave, Ruskin, FL 33570-5220 | 2020-05-14 |
| 1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
| 1487274734 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
| City | OKEECHOBEE |
| Zip Code | 34974 |
Please comment or provide details below to improve the information on OKEECHOBEE KIDNEY CENTER 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.