ST. LOUIS RENAL CARE LLC. PRINCE HALL (NPI# 1679776124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679776124 |
| Entity Type | Organization |
| Organization Name | ST. LOUIS RENAL CARE LLC. PRINCE HALL |
| Practice Address |
4411 N Newstead Ave 2nd Floor Dialysis Saint Louis MO 63115-2534 |
| Practice Telephone | 3148796278 |
| Practice Fax Number | 3143811685 |
| Mailing Telephone | 3148796278 |
| Mailing Fax Number | 3143811685 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS GERDI WINKLER (AREA MANAGER) |
| Authorized Official Telephone | 3149206007 |
| Authorized Official Credential | RN CNN |
| 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 |
4411 N NEWSTEAD AVE 2ND FLOOR DIALYSIS |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63115-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881633881 | Linda J Hughes-belford | Psychiatry & Neurology | 4411 N Newstead Ave, Saint Louis, MO 63115-2534 | 2006-06-05 |
| 1053683110 | Jones Home Health Care, Inc. | In Home Supportive Care | 4411 N Newstead Ave, Suite 111, Saint Louis, MO 63115-2534 | 2012-02-06 |
| 1023221744 | William George Randle Jr. | Social Worker | 4411 N Newstead Ave, Saint Louis, MO 63115-2534 | 2007-05-08 |
| 1063625515 | Hopewell Center | Case Management | 4411 N Newstead Ave, Saint Louis, MO 63115-2534 | 2007-05-08 |
| 1295867042 | Preferred Family Healthcare | Community/Behavioral Health | 4411 N Newstead Ave, Suite 200, Saint Louis, MO 63115-2534 | 2007-03-09 |
| 1538298724 | Iketia Williams-patton | Counselor | 4411 N Newstead Ave, Saint Louis, MO 63115-2534 | 2007-03-05 |
| 1790845196 | Saint Louis Renal Care, LLC | Clinic/Center | 4411 N Newstead Ave, 2nd Floor, Saint Louis, MO 63115 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871023002 | Joshua Kamau Njenga | Nurse Practitioner | 4412 Clarence Avenue, Saint Louis, MO 63115 | 2017-06-20 |
| 1417409178 | Carestl Health | Clinic/Center | 4265 Athlone Ave, Saint Louis, MO 63115 | 2016-10-28 |
| 1366806051 | Samar Roberson | Home Health | 4307 Steinlage Dr, Saint Louis, MO 63115 | 2016-04-08 |
| 1033376884 | Cornell C Thomas | Dentist | 3737 N Kings Highway, Suite 108, St Louis, MO 63115 | 2008-05-20 |
| 1033617386 | Carestl Health | Clinic/Center | 4500 Pope Ave, Saint Louis, MO 63115 | 2018-01-31 |
| 1023466984 | Carestl Health #4 | Durable Medical Equipment & Medical Supplies | 4500 Pope Ave, Saint Louis, MO 63115 | 2016-06-01 |
| 1164621538 | The Learning Tree Intergenerational Center Inc | Clinic/Center | 4430 Labadie Ave, St Louis, MO 63115 | 2007-07-16 |
| 1245721331 | Paul Anthony Matthews Sr. | Home Health Aide | 5165 Ashland Ave, Saint Louis, MO 63115-1014 | 2018-05-23 |
| 1952946857 | Tiffany Nicole Stewart | Home Health | 5116 Greer Ave, Saint Louis, MO 63115-1017 | 2019-11-14 |
| 1548764269 | Angels By The Wings LLC | Home Health | 5142 S Norwood Dr, Saint Louis, MO 63115-1044 | 2018-03-19 |
| Find all providers in zip 63115 | ||||
| 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 |
|---|---|---|---|---|
| 1871049411 | Total Renal Care Inc | Clinic/Center | 8980 Natural Bridge Rd, Saint Louis, MO 63121-3917 | 2016-09-01 |
| 1295139459 | Meadows Dialysis LLC | Clinic/Center | 1554 Sierra Vista Plz, Saint Louis, MO 63138-2040 | 2014-10-17 |
| 1245580570 | Rainer Dialysis LLC | Clinic/Center | 3740 S Jefferson Ave, Saint Louis, MO 63118-3905 | 2012-09-13 |
| 1881980498 | Tugman Dialysis LLC | Clinic/Center | 10241 Lewis and Clark Blvd, Saint Louis, MO 63136-5505 | 2011-06-22 |
| 1497074520 | Gateway St Louis Dialysis LLC | Clinic/Center | 4100 Union Blvd, Saint Louis, MO 63115-1225 | 2010-05-28 |
| 1316173966 | Total Renal Care Inc | Clinic/Center | 3660 Gustine Ave, Saint Louis, MO 63116-3617 | 2009-06-09 |
| 1770719700 | Total Renal Care Inc | Clinic/Center | 9030 Saint Charles Rock Rd, Saint Louis, MO 63114 | 2009-06-04 |
| 1982764387 | Saint Louis Renal Care, LLC | Clinic/Center | 5901 Delmar Blvd, Saint Louis, MO 63112-2028 | 2006-12-08 |
| 1598867772 | Saint Louis Renal Care, LLC | Clinic/Center | Drummond Hall, 3691 Rutger, Suite 222, Saint Louis, MO 63110 | 2006-09-01 |
| 1457463325 | Metro Dialysis Center - Normandy, Inc. | Clinic/Center | 101 N Oaks Plz, Saint Louis, MO 63121-2925 | 2006-08-31 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63115 |
Please comment or provide details below to improve the information on ST. LOUIS RENAL CARE LLC. PRINCE HALL.
| 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.