DVA HEALTHCARE RENAL CARE INC (NPI# 1689638843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689638843 |
Entity Type | Organization |
Organization Name | DVA HEALTHCARE RENAL CARE INC |
Other Organization Name | SWAN CREEK DIALYSIS |
Practice Address |
5201 Airport Hwy Toledo OH 43615-6800 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 4192140540 |
Practice Fax Number | 4192140546 |
Mailing Telephone | 6152383051 |
Mailing Fax Number | 8002468346 |
Enumeration Date | 2006-04-14 |
Last Update Date | 2019-01-21 |
Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334500 |
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 |
0433DC | OH | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4254234 | 05 | |
OH | 2062440 | 05 |
Other Name | Type Code |
---|---|
Swan Creek Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831690098 | Dva Healthcare Renal Care Inc | Clinic/Center | 3901 N Roxboro St Ste 108, Durham, NC 27704-2181 | 2018-02-23 |
1639695984 | Dva Healthcare Renal Care Inc | Clinic/Center | 209 Nc Highway 111 S, Goldsboro, NC 27534-9253 | 2017-08-18 |
1710351531 | Dva Healthcare Renal Care Inc | Clinic/Center | 101 Davita Ln, Elizabeth City, NC 27909-3314 | 2015-11-17 |
1851769848 | Dva Healthcare Renal Care Inc | Clinic/Center | 9622 Kincey Ave, Huntersville, NC 28078-9140 | 2015-09-08 |
1447643408 | Dva Healthcare Renal Care Inc | Clinic/Center | 1274 Ruin Creek Road, Henderson, NC 27537-4168 | 2015-03-13 |
1205116167 | Dva Healthcare Renal Care Inc | Clinic/Center | 11308 Hawthorne Dr, Mint Hill, NC 28227-9300 | 2011-08-24 |
1932363744 | Dva Healthcare Renal Care Inc | Clinic/Center | 7260 E Marshville Blvd, Marshville, NC 28103-1191 | 2008-07-11 |
1689868739 | Dva Healthcare Renal Care Inc | Clinic/Center | 6620 Old Statesville Rd, Charlotte, NC 28269-6768 | 2007-08-31 |
1700815487 | Dva Healthcare Renal Care Inc | Clinic/Center | 3053 State Route 35, Ste 201, Hazlet, NJ 07730-1526 | 2006-07-03 |
1508895632 | Dva Healthcare Renal Care Inc | Clinic/Center | 1164 E Route 130, Burlington, NJ 08016-2954 | 2006-07-01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | DVA HEALTHCARE RENAL CARE INC. | 2000 16th St, Jld/Secgovfin, Denver, Colorado 80202-5117 |
Street Address |
5201 AIRPORT HWY |
City | TOLEDO |
State | OH |
Zip Code | 43615-6800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518507219 | Malcolm Banks | Case Manager/Care Coordinator | 5301 Nebraska Ave., New Concepts, Toledo, OH 43615 | 2020-01-10 |
1730670076 | Ericka Catchings | Counselor | 1124 Wenz Rd, Toledo, OH 43615 | 2018-05-22 |
1124516174 | Ashton Kovic | Case Manager/Care Coordinator | 9715 Dorr St., Toledo, OH 43615 | 2018-04-25 |
1154863777 | Sheron Jenece Garmon | Occupational Therapist | 5963 Luddington Dr, Toledo, OH 43615 | 2016-11-14 |
1558813394 | Alexander Jacoby | Specialist/Technologist | 1001 N Warpole St, Toledo, OH 43615 | 2016-10-27 |
1790233674 | Donalisa June Mcnichols | Counselor | 115 S. Reynolds Rd., Toledo, OH 43615 | 2016-09-20 |
1790130326 | Eagle Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3409 Holland Sylvania Rd #3, Toledo, OH 43615 | 2016-05-02 |
1073972519 | Rhonda Stanley | Registered Nurse | 115 S Reynolds Rd Ste C, Toledo, OH 43615 | 2016-02-12 |
1043635626 | Ciera Larae Wilcox | Home Health Aide | 360. S Reynolds Rd, Toledo, OH 43615 | 2014-02-19 |
1336560317 | Ariel Monique Greenleaf | Registered Nurse | 4661 Ventura Dr, Toledo, OH 43615 | 2013-12-18 |
Find all providers in zip 43615 |
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 |
---|---|---|---|---|
1164947453 | Bio Medical Applications of Ohio Inc | Clinic/Center | 1313 Cherry St, Toledo, OH 43608-2907 | 2017-08-08 |
1013449784 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 3546 W. Sylvania Ave, Toledo, OH 43623 | 2017-03-31 |
1104248574 | Powerton Dialysis LLC | Clinic/Center | 2900 Carskaddon Ave, Toledo, OH 43606-1601 | 2014-01-20 |
1679906325 | Total Renal Care Inc | Clinic/Center | 3401 Glendale Ave Ste 110, Toledo, OH 43614-2490 | 2013-08-16 |
1598982506 | Renal Treatment Centers-illinois Inc | Clinic/Center | 4747 Suder Ave, Ste 107, Toledo, OH 43611-2869 | 2007-04-19 |
1013022870 | Nna of Toledo, Inc. | Clinic/Center | 3100 W Central Ave, Ste 100, Toledo, OH 43606-2914 | 2006-08-20 |
1477501690 | Renal Care Group Toledo, LLC | Clinic/Center | 2532 W Laskey Rd, Toledo, OH 43613-3205 | 2006-05-04 |
1770554917 | Dialysis Centers of Northwest Ohio, Ltd. | Clinic/Center | 5719 Jackman Rd, Toledo, OH 43613-2332 | 2006-01-27 |
1184695314 | Dialysis Centers of Northwest Ohio, Ltd. | Clinic/Center | 2249 N Reynolds Rd, Toledo, OH 43615-2835 | 2006-01-27 |
1851392898 | The Toledo Hospital | Clinic/Center | 2142 N. Cove Blvd., Toledo, OH 43606 | 2005-08-01 |
Find all providers in TOLEDO |
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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.