GREATER LAS VEGAS DIALYSIS LLC (NPI# 1669577037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669577037 |
| Entity Type | Organization |
| Organization Name | GREATER LAS VEGAS DIALYSIS LLC |
| Other Organization Name | SUMMERLIN DIALYSIS CENTER |
| Practice Address |
653 N Town Center Dr Ste 70 Las Vegas NV 89144-0503 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7023606908 |
| Practice Fax Number | 7023607806 |
| Mailing Telephone | 6153416814 |
| Mailing Fax Number | 8002938405 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
3231ESR | NV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1669577037 | 05 |
| Other Name | Type Code |
|---|---|
| Summerlin Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346203825 | Greater Las Vegas Dialysis LLC | Clinic/Center | 2250 S Rancho Dr, Ste 115, Las Vegas, NV 89102-4456 | 2006-04-07 |
| 1902868169 | Greater Las Vegas Dialysis LLC | Clinic/Center | 2065 N Las Vegas Blvd, North Las Vegas, NV 89030-5801 | 2006-04-04 |
| 1538121793 | Greater Las Vegas Dialysis LLC | Clinic/Center | 150 S Valley View Blvd, Las Vegas, NV 89107-3110 | 2006-04-04 |
| Street Address |
653 N TOWN CENTER DR STE 70 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89144-0503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356461 | Luis Leon Diaz | Specialist | 653 N Town Center Dr, Ste 312, Las Vegas, NV 89144-0520 | 2005-06-16 |
| 1689151326 | Latitia Joann Robinson | Social Worker | 653 N Town Center Dr, Las Vegas, NV 89144-0514 | 2018-07-25 |
| 1518418193 | Stahl Wellness Screening, P.C. | Internal Medicine | 653 N Town Center Dr, #400, Las Vegas, NV 89144-0514 | 2016-10-19 |
| 1265989800 | Laura Leigh Deleon | Nurse Practitioner | 653 N Town Center Dr, Ste. 317, Las Vegas, NV 89144-0514 | 2016-09-01 |
| 1952783920 | Mountain Podiatry | Podiatrist | 653 N Town Center Dr, Suite #118, Las Vegas, NV 89144-0514 | 2015-06-25 |
| 1477951770 | Andrew H Hwang Md Prof LLC | Urology | 653 N Town Center Dr, Suite 407, Las Vegas, NV 89144-0514 | 2014-12-18 |
| 1326479759 | Lords of Lond | Family Medicine | 653 N Town Center Dr, 114, Las Vegas, NV 89144-0514 | 2013-12-11 |
| 1972931426 | George R Mcmickle M D P C | Clinic/Center | 653 N Town Center Dr, Suite 318, Las Vegas, NV 89144-0514 | 2013-10-18 |
| 1164857488 | Maria L Burgess | Nurse Practitioner | 653 N Town Center Dr, Suite 504, Las Vegas, NV 89144-0514 | 2013-09-05 |
| 1487097739 | Muir Summerlin Pain Clinic Ltd | Pain Medicine | 653 N Town Center Dr, Suite 210, Las Vegas, NV 89144-0514 | 2013-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609599 | Anila Naz | Technician | 1529 Waterton Drive, Las Vegas, NV 89144 | 2018-05-10 |
| 1467987487 | Judith L. Tan | Nurse Practitioner | Summerlin Hospital, 657 N Town Center Dr, Las Vegas, NV 89144 | 2017-04-27 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1619324662 | Sydney Spoon | Dietitian, Registered | 624 Canyon Greens Dr, Las Vegas, NV 89144 | 2016-05-19 |
| 1629455985 | Md24 Nv, Inc. | Nurse Practitioner | 1180 North Town Center Dr, Ste 100, Las Vegas, NV 89144 | 2015-05-06 |
| 1053652628 | Melvin Lackey Jr. | Behavioral Analyst | 10708 Esk Dr, Las Vegas, NV 89144 | 2013-03-07 |
| 1740445667 | Jaydee R. Lumbad | Family Medicine | 1111 N Town Center Drive, Las Vegas, NV 89144 | 2008-07-21 |
| 1700053824 | Samim Enayat | Internal Medicine | 10105 Banburry Cross Dr Ste 130, Las Vegas, NV 89144 | 2008-05-08 |
| 1629252457 | Edmund Reyes Goroza | Pediatrics | 10105 Banburry Cross Dr Ste 170, Las Vegas, NV 89144 | 2007-12-28 |
| 1730375262 | H.l.greenberg M.d., Ltd. | Clinic/Center | 653 N. Town Center Drive, Ste #410, Las Vegas, NV 89144 | 2007-09-18 |
| Find all providers in zip 89144 | ||||
| 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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|---|---|---|---|---|
| 1942815527 | Virtue Dialysis LLC | Clinic/Center | 3880 S Jones Blvd Ste 1900, Las Vegas, NV 89103-2456 | 2020-09-10 |
| 1265050264 | Puridia LLC | Clinic/Center | 2121 E Flamingo Rd Ste 102, Las Vegas, NV 89119-5123 | 2020-07-07 |
| 1184272460 | Fresenius Medical Care Nkdhc, LLC | Clinic/Center | 255 E Warm Springs Rd, Las Vegas, NV 89119-4233 | 2019-08-29 |
| 1528629805 | Renwick Dialysis LLC | Clinic/Center | 2350 Stockton Ave, Las Vegas, NV 89104-3823 | 2019-06-26 |
| 1245681170 | Ramsey Dialysis LLC | Clinic/Center | 1750 E Desert Inn Rd Ste 100, Las Vegas, NV 89169-3202 | 2016-06-22 |
| 1861875585 | Frontier Dialysis, LLC | Clinic/Center | 7316 W Cheyenne Ave, Las Vegas, NV 89129-6201 | 2015-06-30 |
| 1609217157 | Fresenius Medical Care West Sahara, LLC | Clinic/Center | 1581 Mount Mariah Dr, Suite 100, Las Vegas, NV 89106 | 2013-07-12 |
| 1134493265 | Fresenius Medical Care Ne Las Vegas, LLC | Clinic/Center | 321 N Nellis Blvd, Las Vegas, NV 89110-5323 | 2012-03-07 |
| 1881961977 | Sherman Dialysis LLC | Clinic/Center | 3291 N Buffalo Dr Bldg A, Suite 150, Las Vegas, NV 89129-7441 | 2011-11-17 |
| 1952698417 | Isd Spring Valley LLC | Clinic/Center | 3855 S Jones Blvd, Suite 101, Las Vegas, NV 89103-2296 | 2011-07-06 |
| Find all providers in LAS VEGAS | ||||
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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.