DVA RENAL HEALTHCARE INC (NPI# 1851354682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851354682 |
| Entity Type | Organization |
| Organization Name | DVA RENAL HEALTHCARE INC |
| Other Organization Name | MAINLAND DIALYSIS |
| Practice Address |
4201 Gulf Fwy La Marque TX 77568 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 4099381678 |
| Practice Fax Number | 4099381679 |
| Mailing Telephone | 6153416764 |
| Mailing Fax Number | 8337816999 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | JOHN D 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 |
110369 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 173818902 | 05 |
| Other Name | Type Code |
|---|---|
| Mainland Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629415609 | Dva Renal Healthcare Inc | Clinic/Center | 300 B 22nd St South, Birmingham, AL 35233-2209 | 2013-05-30 |
| 1164728408 | Dva Renal Healthcare Inc | Clinic/Center | 415 W Nc Hwy 54, Durham, NC 27713-7516 | 2011-02-03 |
| 1295983245 | Dva Renal Healthcare Inc | Clinic/Center | 1919 Charlotte Ave Ste 200, Nashville, TN 37203-2245 | 2008-09-03 |
| 1811171440 | Dva Renal Healthcare Inc | Clinic/Center | 300 W Broadway Ste 150, Council Bluffs, IA 51503-9077 | 2007-12-18 |
| 1881623585 | Dva Renal Healthcare Inc | Clinic/Center | 271 King St, Perth Amboy, NJ 08861-4488 | 2006-07-03 |
| 1164451852 | Dva Renal Healthcare Inc | Clinic/Center | 262 Texas Rd, Ste 101, Old Bridge, NJ 08857-4008 | 2006-07-03 |
| 1912936618 | Dva Renal Healthcare Inc | Clinic/Center | 1200 Randolph Rd, Muhlenburg Campus, Plainfield, NJ 07060-3361 | 2006-07-03 |
| 1346270782 | Dva Renal Healthcare Inc | Clinic/Center | 230 Van Sciver Pkwy, Willingboro, NJ 08046-1131 | 2006-07-03 |
| 1548299381 | Dva Renal Healthcare Inc | Clinic/Center | 29 Meridian Rd, Edison, NJ 08820-2823 | 2006-07-02 |
| 1548299373 | Dva Renal Healthcare Inc | Clinic/Center | 14-20 Prospect St, East Orange, NJ 07017-2238 | 2006-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DVA Renal Healthcare Inc. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
4201 GULF FWY |
| City | LA MARQUE |
| State | TX |
| Zip Code | 77568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104344712 | Jay Patel | Pharmacist | 6410 I-45 (walmart Pharmacy), Lamarque, TX 77568 | 2017-09-03 |
| 1730569617 | David D Nguyen Od Pllc | Optometrist | 6614 Gulf Frwy, La Marque, TX 77568 | 2015-06-04 |
| 1619398310 | Eyeland Eyecare Pllc | Optometrist | 6614 Gulf Fwy, La Marque, TX 77568 | 2013-12-23 |
| 1649616251 | Aic Primary Care Pllc | Family Medicine | 2600 Fm 1764 Suite 190, La Marque, TX 77568 | 2013-05-22 |
| 1962788125 | Aic Urgent Care. Pllc | Clinic/Center | 2600 Fm 1764, Suite 190, La Marque, TX 77568 | 2011-11-01 |
| 1215166061 | Guillermo Montes | Dentist | 1205 Lake Road, Cedar Lake Dental, La Marque, TX 77568 | 2009-07-14 |
| 1245258904 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 6614 Gulf Freeway, La Marque, TX 77568 | 2006-07-18 |
| 1982000493 | David Nguyen | Optometrist | 6614 Gulf Freeway, La Marque, TX 77568 | 2014-11-10 |
| 1326324567 | Aic Primary Care, Pllc | Clinic/Center | 2600 Fm 1764, Suite 190, Lamarque, TX 77568 | 2011-11-02 |
| 1346870813 | Alyssa Lynn Lamoree | Licensed Vocational Nurse | 869 Canton Grass Ln, La Marque, TX 77568-1008 | 2020-01-23 |
| Find all providers in zip 77568 | ||||
| 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 |
|---|---|---|---|---|
| 1932462751 | Teton Dialysis LLC | Clinic/Center | 13003 Delaney St, La Marque, TX 77568-2506 | 2012-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801931 | Usrc Mckinney, LLC | Clinic/Center | 1434 N Central Expy Ste 116, Mckinney, TX 75070-3108 | 2020-11-05 |
| 1437756772 | Usrc Bluebonnet, LLC | Clinic/Center | 1902 Windsor Pl, Ste 100, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1609473941 | Usrc Bluebonnet Home, LLC | Clinic/Center | 1902 Windsor Pl Ste 202, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1982210050 | Usrc Stephenville LLC | Clinic/Center | 942 Bluebonnet Dr, Stephenville, TX 76401-1764 | 2020-09-23 |
| 1801402979 | Usrc Garland LLC | Clinic/Center | 219 W Kingsley Rd Ste 316, Garland, TX 75041-3434 | 2020-09-23 |
| 1003422171 | Usrc Dialysis At Home West LLC | Clinic/Center | 12011 State Highway 151 Ste 222, San Antonio, TX 78251-1230 | 2020-09-23 |
| 1477165462 | Fresenius Medical Care South Lewisville, LLC | Clinic/Center | 101 E Southwest Pkwy Ste 110, Lewisville, TX 75067-8753 | 2020-08-20 |
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1891312559 | Usrc Houston Newco Home LLC | Clinic/Center | 2000 Crawford St Ste 777, Houston, TX 77002-9006 | 2020-06-29 |
| 1427671502 | Usrc Plano Dexter, LLC | Clinic/Center | 4708 Dexter Dr, Plano, TX 75093-5288 | 2020-05-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DVA RENAL HEALTHCARE INC.
| 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.