RENAL TREATMENT CENTERS SOUTHEAST LP (NPI# 1861451924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861451924 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS SOUTHEAST LP |
| Other Organization Name | INDEPENDENCE RENAL CENTER |
| Practice Address |
12392 Highway 40 W Independence LA 70443-4813 |
| Mailing Address |
5200 Virginia Way Ste 400 L&c Brentwood TN 37027-7569 |
| Practice Telephone | 9858781900 |
| Practice Fax Number | 9858784865 |
| Mailing Telephone | 6153204218 |
| Mailing Fax Number | 3032097825 |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2007-07-10 |
| Authorized Official Name | THOMAS O USILTON JR. (GROUP VICE PRESIDENT) |
| Authorized Official Telephone | 7705417922 |
| 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 |
025 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1182800 | 05 |
| Other Name | Type Code |
|---|---|
| Independence Renal Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689176711 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1510 Eastern Blvd, Montgomery, AL 36117-1629 | 2018-03-05 |
| 1376075523 | Renal Treatment Centers Southeast Lp | Clinic/Center | 2443 Monarch Dr, Laredo, TX 78045-6329 | 2017-03-28 |
| 1134667264 | Renal Treatment Centers Southeast Lp | Clinic/Center | 2860 Us Highway 83, Zapata, TX 78076 | 2017-02-09 |
| 1528517752 | Renal Treatment Centers Southeast Lp | Clinic/Center | 404 S Veterans Blvd, Ste D, Edinburg, TX 78539 | 2016-09-29 |
| 1902353543 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1006 E Interstate Highway 2, Donna, TX 78537-4153 | 2016-09-01 |
| 1285087189 | Renal Treatment Centers Southeast Lp | Clinic/Center | 6626 Antoine Dr, Houston, TX 77091-1206 | 2016-07-15 |
| 1992134340 | Renal Treatment Centers Southeast Lp | Clinic/Center | 5406 Highway 280, Suite D107, Birmingham, AL 35242-6592 | 2013-11-06 |
| 1538503008 | Renal Treatment Centers Southeast Lp | Clinic/Center | 7580 Fannin St Ste 200, Houston, TX 77054-1900 | 2013-04-26 |
| 1881938207 | Renal Treatment Centers Southeast Lp | Clinic/Center | 115 Wrights St Ste A, Hot Springs, AR 71913-6240 | 2012-11-26 |
| 1891039210 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1114 W Washington St Nw, Camden, AR 71701-3827 | 2012-11-26 |
| Street Address |
12392 HIGHWAY 40 W |
| City | INDEPENDENCE |
| State | LA |
| Zip Code | 70443-4813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336696830 | Nicole Blanchard Chapel | Counselor | 5001 Hwy 190, East Service Rd, Suite C6, Mandeville, LA 70443 | 2016-09-01 |
| 1043668783 | Southeast Community Health Systems | Clinic/Center | 55420 N. Railroad Avenue, Independence, LA 70443 | 2016-06-02 |
| 1144614645 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 515 3rd Street, Independence, LA 70443 | 2015-03-23 |
| 1063842912 | Moritha Johnson | Licensed Practical Nurse | 14175 Rev. J. White Rd, Independence, LA 70443 | 2013-11-13 |
| 1053749739 | Southeast Community Health Systems | Clinic/Center | 336 East Railroad Avenue, Independence, LA 70443 | 2013-10-16 |
| 1689931370 | Casey L Hastings | Emergency Medicine | 52579 Us State Route 51, Lallie Kemp, Independence, LA 70443 | 2012-04-18 |
| 1326345414 | Alfaa House Community Center | Psychiatric Hospital | 306 W 4th Street, Independence, LA 70443 | 2011-02-25 |
| 1609177864 | Charles R Genovese Jr Md Inc | Specialist | 312 E Rail Road Ave, Independence, LA 70443 | 2010-11-04 |
| 1437300233 | L A Homecare 1 Inc | In Home Supportive Care | 146 Hwy 40, C, Independence, LA 70443 | 2008-10-10 |
| 1770758120 | Ila Jean Cascio | Speech-Language Pathologist | 51642 Hwy 1065, Independence, LA 70443 | 2008-04-28 |
| Find all providers in zip 70443 | ||||
| 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 |
|---|---|---|---|---|
| 1154505188 | Renal Treatment Centers Illinois Inc | Clinic/Center | 4801 Acorn Dr, Independence, OH 44131-2566 | 2007-12-27 |
| 1265614093 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 19401 East 37th Terrace Court South, Suite 200, Independence, MO 64057-2321 | 2007-12-04 |
| 1023120821 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 1135 S Claremont Ave, Independence, MO 64054-1724 | 2006-08-31 |
| 1437118239 | Renal Treatment Centers West Inc | Clinic/Center | 801 W Myrtle St, Independence, KS 67301 | 2006-03-21 |
| 1477877108 | Renal Treatment Centers Illinois Inc | Clinic/Center | 1600 1st St E, Independence, IA 50644-3155 | 2010-03-24 |
| 1821222126 | Total Renal Care Illinois Inc | Clinic/Center | 1600 1st St E, Independence, IA 50644-3155 | 2009-05-14 |
| 1629269733 | Total Renal Care Inc | Clinic/Center | 19101 E Valley View Pkwy, Suite E, Independence, MO 64055-6907 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079085 | Fresenius Medical Care Broussard, LLC | Clinic/Center | 138 Youngsville Highway, Lafayette, LA 70508-4536 | 2020-09-29 |
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1700404381 | Fresenius Medical Care Ouachita Home, LLC | Clinic/Center | 401 Thomas Rd Ste D, West Monroe, LA 71292-7902 | 2020-07-09 |
| 1255997110 | Dialysis Clinic Inc | Clinic/Center | 222 Saint Nazaire Rd, Broussard, LA 70518-4205 | 2019-05-16 |
| 1710457544 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 5820 Masonic Dr, Alexandria, LA 71301-2634 | 2018-12-05 |
| 1215407101 | Bio-medical Applications of Louisiana LLC | Clinic/Center | 634 Tunica Dr W, Marksville, LA 71351-2629 | 2018-12-04 |
| 1790263697 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 6101 Elysian Fields Ave, New Orleans, LA 70122-4209 | 2018-08-02 |
| 1881192540 | Isd Renal Inc | Clinic/Center | 3999 Highway 190 East Service Rd Ste A, Covington, LA 70433-4914 | 2018-01-29 |
| 1629583281 | Bio-medical Applications Louisiana, LLC | Clinic/Center | 2500 Louisiana Ave, New Orleans, LA 70115-6036 | 2017-12-05 |
| 1396255311 | Dialysis Clinic Inc | Clinic/Center | 2020 Bert Kouns Industrial Loop, Shreveport, LA 71118-3315 | 2017-10-04 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 70443 |
Please comment or provide details below to improve the information on RENAL TREATMENT CENTERS SOUTHEAST LP.
| 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.