LOURDES DIALYSIS LLC (NPI# 1831690924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831690924 |
| Entity Type | Organization |
| Organization Name | LOURDES DIALYSIS LLC |
| Other Organization Name | CLARCONA DIALYSIS |
| Practice Address |
8259 Clarcona Ocoee Rd Orlando FL 32818-1228 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 4072992173 |
| Practice Fax Number | 4072997673 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2019-11-21 |
| 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 |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 101945100 | 05 |
| Other Name | Type Code |
|---|---|
| Clarcona Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274595 | Lourdes Dialysis LLC | Clinic/Center | 12001 Science Dr Ste 110, Orlando, FL 32826-2913 | 2017-02-20 |
| 1093294548 | Lourdes Dialysis LLC | Clinic/Center | 1350 N Hancock Rd, Clermont, FL 34711-5952 | 2018-08-07 |
| 1881021517 | Lourdes Dialysis LLC | Clinic/Center | 7560 Red Bug Lake Rd, Ste 1048, Oviedo, FL 32765-6591 | 2013-09-26 |
| Street Address |
8259 CLARCONA OCOEE RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32818-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285275206 | Shareen Sutherland | Nurse Practitioner | 1896 Lake Hill Circle, Orlando, FL 32818 | 2019-10-01 |
| 1235611245 | Welcome Home Wellness Center LLC | Clinic/Center | 7732 Silver Star Rd Ste 2, Orlando, FL 32818 | 2018-09-06 |
| 1245712603 | Palm Coast Urgent Care | General Practice | 6388 Silver Star Rd Suite 1c, Orlando, FL 32818 | 2018-09-02 |
| 1598283418 | 2 Heart To Heart Group Home, Inc | Homemaker | 6617 Kristin Ct, Orlando, FL 32818 | 2017-08-30 |
| 1508383159 | Adancia Sainte Ducleron | Behavior Technician | 8315 Snowfire Dr, Orlando, FL 32818 | 2017-08-24 |
| 1891210910 | Eddie L. Banks Jr. | Counselor | 2724 Silkwood Cir., 927, Orlando, FL 32818 | 2017-08-09 |
| 1275077018 | Mirlande Nelson | Specialist | 501 W Colonial Dr, Orlando, FL 32818 | 2016-12-13 |
| 1477906782 | Adrain Yvette Lee | Nurse Practitioner | 6388 Silver Star Rd Ste 2b, Orlando, FL 32818 | 2016-07-21 |
| 1013389659 | Jessica Jocelyn | Speech-Language Pathologist | 6727 Meritmoor Circle, Orlando, FL 32818 | 2015-10-22 |
| 1104226745 | Emmanuella Delorme | Behavior Technician | 7225 Woodridge Park Dr, 8102, Orlando, FL 32818 | 2014-09-02 |
| Find all providers in zip 32818 | ||||
| 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 |
|---|---|---|---|---|
| 1720559198 | Caring Heart Metro West Dialysis LLC | Clinic/Center | 1743 Park Center Dr Ste 300, Orlando, FL 32835-7621 | 2018-12-11 |
| 1619450988 | Total Renal Care Inc | Clinic/Center | 828 Mercy Dr, Orlando, FL 32808-7820 | 2018-09-12 |
| 1700369089 | Total Renal Care Inc | Clinic/Center | 7960 Forest City Rd Ste 105, Orlando, FL 32810-2938 | 2018-09-12 |
| 1861933699 | West Orange Orlando Dialysis Center LLC | Clinic/Center | 828 Mercy Dr Ste 2, Orlando, FL 32808-7820 | 2017-03-13 |
| 1295274595 | Lourdes Dialysis LLC | Clinic/Center | 12001 Science Dr Ste 110, Orlando, FL 32826-2913 | 2017-02-20 |
| 1689126757 | South Central Florida Dialysis Partners LLC | Clinic/Center | 5778 S Semoran Blvd Ste A, Orlando, FL 32822-4819 | 2016-10-25 |
| 1013468438 | Total Renal Care Inc | Clinic/Center | 5778 S Semoran Blvd, Ste A, Orlando, FL 32822-4819 | 2016-10-20 |
| 1942679667 | Central Florida Kidney Centers Inc | Clinic/Center | 401 S Chickasaw Trl, Orlando, FL 32825-7803 | 2015-09-23 |
| 1396124905 | West Orange Maitland Dialysis Center LLC | Clinic/Center | 7960 Forest City Rd, Suite 105, Orlando, FL 32810-2938 | 2015-05-28 |
| 1821427782 | Orlando Pillar Dialysis, LLC | Clinic/Center | 5401 South Kirkman Road, Suite 310, Orlando, FL 32819-7940 | 2013-11-01 |
| Find all providers in ORLANDO | ||||
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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.