DVA HEALTHCARE SOUTHWEST OHIO LLC


Address: 6550 Winton Rd, Cincinnati, OH 45224-1327
Phone: 5135912900

DVA HEALTHCARE SOUTHWEST OHIO LLC (NPI# 1699739789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699739789
Entity Type Organization
Organization Name DVA HEALTHCARE SOUTHWEST OHIO LLC
Other Organization Name WINTON ROAD DIALYSIS
Practice Address 6550 Winton Rd
Cincinnati
OH 45224-1327
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 5135912900
Practice Fax Number 5135910208
Mailing Telephone 6152383051
Mailing Fax Number 8002468346
Enumeration Date 2006-04-14
Last Update Date 2019-01-07
Authorized Official Name JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
0523DC OH Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KY 3900017900 05
OH 2120994 05

Other Provider/Organization Names

Other Name Type Code
Winton Road Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1720042096 Dva Healthcare Southwest Ohio LLC Clinic/Center 1210 Hicks Blvd, Fairfield, OH 45014-1921 2006-04-13
1427012764 Dva Healthcare Southwest Ohio LLC Clinic/Center 3497 S Dixie Hwy, Franklin, OH 45005-5717 2006-04-13
1588628846 Dva Healthcare Southwest Ohio LLC Clinic/Center 10600 Mckinley Rd, Blue Ash, OH 45242-3716 2006-04-13
1255395455 Dva Healthcare Southwest Ohio LLC Clinic/Center 2109 Reading Rd, Cincinnati, OH 45202 2006-04-14
1245294412 Dva Healthcare Southwest Ohio LLC Clinic/Center 3267 Westbourne Dr, Cincinnati, OH 45248 2006-04-14

Office Location

Street Address 6550 WINTON RD
City CINCINNATI
State OH
Zip Code 45224-1327

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NPI Name Taxonomy Address Enumeration
1679035653 Twin Towers Assisted Living Facility 5343 Hamilton Avenue, Attn: Lec Finance, Cincinnati, OH 45224 2019-04-01
1376025700 Lashonda Ferguson Licensed Practical Nurse 6465 Devonwood . Drive, Cincinnati, OH 45224 2018-09-01
1992205082 Crystal Mccray Massage Therapist 6204 Hamilton Avenue, Suite 6 D, Cincinnati, OH 45224 2018-02-15
1023517927 Queen City Medical Transport Non-emergency Medical Transport (VAN) 824 W. North Bend, Unit 2 Box #5, Cincinnati, OH 45224 2018-02-06
1982123311 Brenda Frost Mitchel Counselor 5837 Hamilton Avenue, Cincinnati, OH 45224 2017-09-18
1043732522 Deborah Ann Whitlock Registered Nurse 6404 Aspen Way, #2, Cincinnati, OH 45224 2017-07-17
1225403488 Tierria Suggs Home Health Aide 1442 Marlowe Ave, Cincinnati, OH 45224 2015-12-14
1417370305 Bobby Jordan Social Worker 5800 Salvia Avenue, Cincinnati, OH 45224 2014-01-28
1528333697 Lynn Mary Fitzwater Registered Nurse 6484 Teakwood Ct, Cincinnati, OH 45224 2012-03-21
1063782282 Markiana S. Cornist Licensed Practical Nurse 6240 Hamilton Ave Ste 6c, Cincinnati, OH 45224 2012-01-04
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639715808 Bullock Dialysis LLC Clinic/Center 2290 Ferguson Rd, Cincinnati, OH 45238 2019-11-22
1225401649 Cinld, LLC Clinic/Center 1555 Goodman Ave, Cincinnati, OH 45224-1058 2015-11-06
1144611278 Texoma Dialysis LLC Clinic/Center 7700 Affinity Dr, Cincinnati, OH 45231-3566 2015-02-11
1033511092 Infiniti Dialysis Center of Cincinnati LLC. Clinic/Center 4750 E. Galbraith Road, Suite #103, Cincinnati, OH 45236-6706 2014-09-22
1003236357 Mermet Dialysis LLC Clinic/Center 7700 Affinity Pl, Cincinnati, OH 45231-3566 2014-04-24
1427489111 Nxstage Cincinnati LLC Clinic/Center 12065 Montgomery Rd, Cincinnati, OH 45249-1728 2013-12-05
1922314582 Fields Dialysis LLC Clinic/Center 2300 Wall St Ste O, Cincinnati, OH 45212-2789 2010-08-20
1770713026 Dca of Kenwood LLC Clinic/Center 5150 E Galbraith Rd, Cincinnati, OH 45236-2871 2009-07-21
1730321696 Fields Dialysis LLC Clinic/Center 1145 Kemper Meadow Dr, Cincinnati, OH 45240-4118 2009-03-24
1538304399 Total Renal Care Inc Clinic/Center 3960 Red Bank Rd Ste 160, Cincinnati, OH 45227-3421 2008-12-09
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Competitor

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City CINCINNATI
Zip Code 45224

Improve Information

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Dataset Information

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.

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