DVA HEALTHCARE RENAL CARE INC (NPI# 1750345450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750345450 |
Entity Type | Organization |
Organization Name | DVA HEALTHCARE RENAL CARE INC |
Other Organization Name | SAN JACINTO DIALYSIS |
Practice Address |
11430 East Fwy Ste 330 Houston TX 77029-1959 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 7134504991 |
Practice Fax Number | 7134515766 |
Mailing Telephone | 6153416764 |
Mailing Fax Number | 8337816999 |
Enumeration Date | 2006-04-12 |
Last Update Date | 2020-08-04 |
Authorized Official Name | JOHN 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 |
000121 | TX | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 021039502 | 05 |
Other Name | Type Code |
---|---|
San Jacinto 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 |
11430 EAST FWY STE 330 |
City | HOUSTON |
State | TX |
Zip Code | 77029-1959 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730615360 | Matthew Britton Poter | Dietitian, Registered | 11430 East Fwy Ste 330, Houston, TX 77029-1959 | 2017-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962052977 | Cassandra Long Davenport | Technician | 8522 Tilgham St., Houston, TX 77029 | 2019-09-12 |
1184937427 | Allstar Pharmacy LLC | Pharmacy | 11410 E. I-10 Freeway Suite 164, Houston, TX 77029 | 2010-07-15 |
1619097383 | Todd A Simon | Physical Therapist | 10909 I-10 E Frwy, Houston, TX 77029 | 2007-03-29 |
1497810352 | James Andrew Paskow | Family Medicine | 8799 Loop 610 East, Suite 250, Houston, TX 77029 | 2006-12-22 |
1659449403 | Ray Anders Denson | Family Medicine | 1414 Holland Ave, Houston, TX 77029 | 2006-12-01 |
1396812459 | E Harris County Hospice Services Inc | Hospice Care, Community Based | 1313 Holland Ave, Bldg 2, Houston, TX 77029 | 2006-11-30 |
1740363688 | Richard Gary Trifiro | Family Medicine | 8799 North Loop, East, Suite 110, Houston, TX 77029 | 2006-10-23 |
1962595512 | Extended Care Ems | Ambulance | 10209 Market St., A, Houston, TX 77029 | 2006-10-02 |
1396842910 | Lloyd Curtis James Jr. | Dentist | 918 Mercury, B, Houston, TX 77029 | 2006-09-17 |
1568579951 | John J Connell | Chiropractor | 10934 I-10 East Freeway, Houston, TX 77029 | 2006-08-23 |
Find all providers in zip 77029 |
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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1922575323 | Fresenius Medical Care Ella, LLC | Clinic/Center | 1900 North Loop W Ste 200, Houston, TX 77018-8117 | 2018-10-24 |
1821575077 | Tolland Dialysis LLC | Clinic/Center | 4751 W Fuqua St, Houston, TX 77045-6104 | 2018-07-20 |
1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
1366943847 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 8700 S Gessner Rd Ste 300, Houston, TX 77074-2916 | 2018-02-21 |
1548774433 | Bio-medical Applications of Texas, Inc | Clinic/Center | 10505 Jones Rd, Houston, TX 77065-4211 | 2017-11-30 |
1861905408 | Clear Lake Dialysis Center | Clinic/Center | 1050 Gemini St, Houston, TX 77058-2706 | 2017-11-06 |
Find all providers in HOUSTON |
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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.