LIVINGSTON DIALYSIS LLC (NPI# 1881965911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881965911 |
| Entity Type | Organization |
| Organization Name | LIVINGSTON DIALYSIS LLC |
| Other Organization Name | FOREST HILL AVENUE DIALYSIS |
| Practice Address |
4900 Forest Hill Ave Richmond VA 23225-3146 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8042303594 |
| Practice Fax Number | 8042303971 |
| Mailing Telephone | 6153204214 |
| Mailing Fax Number | 8669443352 |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2020-08-24 |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1881965911 | 05 |
| Other Name | Type Code |
|---|---|
| Forest Hill Avenue Dialysis | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Livingston Dialysis LLC | 601 Hawaii St, El Segundo, California 90245 |
| Street Address |
4900 FOREST HILL AVE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23225-3146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1659996023 | Amira Transport Inc. | Non-emergency Medical Transport (VAN) | 7400 Beaufont Springs Drive, Suite 300, North Chesterfield, VA 23225 | 2020-06-11 |
| 1548881352 | Kevin Raymond Tarlow | Psychologist | 2000 Riverside Drive, Apt. 6c, Richmond, VA 23225 | 2020-05-04 |
| 1619522000 | Spring Transport Inc | Non-emergency Medical Transport (VAN) | 2418 W Tremont Ct, Richmond, VA 23225 | 2019-08-02 |
| 1063976660 | Kelly Erin Mitchell | Nurse Practitioner | 7401 Beaufort Springs Dr, Suite 205, Richmond, VA 23225 | 2019-01-28 |
| 1760977540 | Marchett Hopkins | Counselor | 1601 Skilift Ln, Richmond, VA 23225 | 2018-06-25 |
| 1821582644 | Infinite Solutions Behavioral Services, LLC | Case Management | 6946 Forest Hill Ave Suite B, Richmond, VA 23225 | 2018-06-15 |
| 1922595230 | Andrea Ruth Steegmayer | Registered Nurse | Vcu Health System, 1250 E. Marshall Street, Richmond, VA 23225 | 2018-04-23 |
| 1306340153 | Eric Sheldon Jacobson | Internal Medicine | 2956 Hathaway Rd, Apt. 1101, Richmond, VA 23225 | 2018-03-19 |
| Find all providers in zip 23225 | ||||
| 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 |
|---|---|---|---|---|
| 1114475688 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 5802 Jefferson Davis Hwy, Richmond, VA 23234-2246 | 2016-09-14 |
| 1275992133 | Richmond Regional Dialysis LLC | Clinic/Center | 3384 Creighton Rd, Richmond, VA 23223-2618 | 2016-02-19 |
| 1578809315 | Pobello Dialysis LLC | Clinic/Center | 21026 W Bellfort St, Richmond, TX 77406-1685 | 2012-12-26 |
| 1417221185 | Westhampton Regional Dialysis Center LLC | Clinic/Center | 500 E Laburnum Ave, Suite 3, Richmond, VA 23222-2123 | 2012-02-28 |
| 1205135340 | Stewart Dialysis LLC | Clinic/Center | 4200 Macdonald Ave, Ste A, Richmond, CA 94805-2315 | 2011-03-15 |
| 1093856643 | Ara-south Laburnum Dialysis LLC | Clinic/Center | 4817 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-02-08 |
| 1467556233 | West End Dialysis Center, Inc. | Clinic/Center | 1501 Santa Rosa Rd., Richmond, VA 23229-5110 | 2006-09-12 |
| 1629180435 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1036 Center Dr, Suite C, Richmond, KY 40475-3838 | 2006-08-31 |
| 1063524601 | Rai Care Centers of Virginia I, LLC | Clinic/Center | 800 W Leigh St, Suite B, Richmond, VA 23220-3136 | 2006-08-31 |
| 1619089414 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 910 Stonner Loop, Richmond, MO 64085-2229 | 2006-08-31 |
| Find all providers in RICHMOND | ||||
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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.