PURE LIFE RENAL OF LOUISVILLE, LLC (NPI# 1629602727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629602727 |
| Entity Type | Organization |
| Organization Name | PURE LIFE RENAL OF LOUISVILLE, LLC |
| Practice Address |
3935 Taylorsville Rd Louisville KY 40220-1455 |
| Mailing Address |
4000 Hollywood Blvd Ste 300n Hollywood FL 33021-1242 |
| Practice Telephone | 9549625733 |
| Mailing Telephone | 3023032667 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | JEFF FERNANDEZ (CFO) |
| Authorized Official Telephone | 9549625733 |
| 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 |
3935 TAYLORSVILLE RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40220-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502560 | Louis James Walker IIi | Physical Therapist | 8904 Elks Bluff Drive, Unit 02206, Apt 206, Louisville, KY 40220 | 2020-09-10 |
| 1396207148 | Kristan Shay Swindler | Specialist/Technologist, Other | 3008 Furman Blvd., Louisville, KY 40220 | 2019-04-02 |
| 1033686191 | Reine Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3405 Breckenridge Lane, Louisville, KY 40220 | 2018-10-26 |
| 1053828145 | Angelique Marie Leist | Registered Nurse | 3103 Breckenridge Ln Ste 1, Louisville, KY 40220 | 2018-01-10 |
| 1811413925 | Virginia Zimlich | Physical Therapist | 2807 Alice Ave, Louisville, KY 40220 | 2017-08-21 |
| 1255860649 | Susan Marie Elder | Registered Nurse | 2816 Esther Blvd, Louisville, KY 40220 | 2017-06-08 |
| 1215300611 | Katie Kipfer | Day Training/Habilitation Specialist | 3902 Graf Drive, Louisville, KY 40220 | 2015-11-06 |
| 1639547987 | Meghan Hillerich | Home Health | 13 Canterbury Drive, Louisville, KY 40220 | 2015-09-03 |
| 1376921098 | Dental Services of Kentucky, Psc | Dentist | 3946 Taylorsville Rd., Louisville, KY 40220 | 2015-05-14 |
| 1093103574 | Joann Bartolone Murphy | Developmental Therapist | 3717 Taylorsville Rd., Louisville, KY 40220 | 2015-01-06 |
| Find all providers in zip 40220 | ||||
| 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 |
|---|---|---|---|---|
| 1962000232 | Fresenius Medical Care Kentuckiana Ht, LLC | Clinic/Center | 6400 Dutchmans Pkwy Ste 145, Louisville, KY 40205-3342 | 2020-10-09 |
| 1659988970 | Dialyze Direct Ky, LLC | Clinic/Center | 9780 Ormsby Station Rd Ste 1200, Louisville, KY 40223-4049 | 2020-09-30 |
| 1093213902 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1715 Gagel Ave, Louisville, KY 40216-2763 | 2018-01-25 |
| 1386038040 | Lufield Dialysis LLC | Clinic/Center | 2118 Portland Ave, Louisville, KY 40212-1032 | 2015-03-20 |
| 1871927293 | University Kidney Center Broadway LLC | Clinic/Center | 2821 West Broadway, Louisville, KY 40211-1218 | 2013-08-22 |
| 1649603705 | University Kidney Center Hikes Lane LLC | Clinic/Center | 2271 Hikes Ln, Louisville, KY 40218-2203 | 2013-08-13 |
| 1497048342 | Sugarite Dialysis LLC | Clinic/Center | 4600 Shelbyville Rd Ste 310, Louisville, KY 40207-2391 | 2011-05-25 |
| 1871720763 | James More | Clinic/Center | 2149 Goldsmith Ln, Louisville, KY 40218-1219 | 2009-06-17 |
| 1386878502 | Louisville Dialysis Clinic LLC | Clinic/Center | 817 Peachtree St, Louisville, GA 30434-1449 | 2009-05-04 |
| 1538352141 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 3701 Chamberlain Lane, Louisville, KY 40241-2001 | 2007-08-27 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40220 |
Please comment or provide details below to improve the information on PURE LIFE RENAL OF LOUISVILLE, 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.