GREATER LAS VEGAS DIALYSIS LLC (NPI# 1902868169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902868169 |
| Entity Type | Organization |
| Organization Name | GREATER LAS VEGAS DIALYSIS LLC |
| Other Organization Name | NORTH LAS VEGAS DIALYSIS CENTER |
| Practice Address |
2065 N Las Vegas Blvd North Las Vegas NV 89030-5801 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7026390469 |
| Practice Fax Number | 7026390221 |
| Mailing Telephone | 6153416814 |
| Mailing Fax Number | 8002938405 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-04-20 |
| 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 |
492ESR | NV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1902868169 | 05 | |
| NV | 004502000 | 05 |
| Other Name | Type Code |
|---|---|
| North Las Vegas Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346203825 | Greater Las Vegas Dialysis LLC | Clinic/Center | 2250 S Rancho Dr, Ste 115, Las Vegas, NV 89102-4456 | 2006-04-07 |
| 1538121793 | Greater Las Vegas Dialysis LLC | Clinic/Center | 150 S Valley View Blvd, Las Vegas, NV 89107-3110 | 2006-04-04 |
| 1669577037 | Greater Las Vegas Dialysis LLC | Clinic/Center | 653 N Town Center Dr, Ste 70, Las Vegas, NV 89144-0503 | 2006-09-13 |
| Street Address |
2065 N LAS VEGAS BLVD |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89030-5801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817051 | Debbie Sanico Moreno | Nurse Practitioner | 2065 N Las Vegas Blvd, North Las Vegas, NV 89030-5801 | 2020-09-23 |
| 1295910099 | Kamron Latif Saleem | Internal Medicine | 2065 N Las Vegas Blvd, North Las Vegas, NV 89030-5801 | 2007-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
| 1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
| 1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
| 1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
| 1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
| 1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
| 1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
| 1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
| 1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
| Find all providers in zip 89030 | ||||
| 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 |
|---|---|---|---|---|
| 1356720023 | Hummer Dialysis LLC | Clinic/Center | 713 E Lake Mead Blvd, North Las Vegas, NV 89030-6751 | 2015-05-27 |
| 1023599784 | American Dialysis Centers, North Las Vegas LLC | Clinic/Center | 4107 W Cheyenne Ave, North Las Vegas, NV 89032-3476 | 2018-08-22 |
| 1205184801 | Bio-medical Applications of Nevada, Inc. | Clinic/Center | 1905 Civic Center Dr, Suite 201, North Las Vegas, NV 89030-7143 | 2012-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815527 | Virtue Dialysis LLC | Clinic/Center | 3880 S Jones Blvd Ste 1900, Las Vegas, NV 89103-2456 | 2020-09-10 |
| 1265050264 | Puridia LLC | Clinic/Center | 2121 E Flamingo Rd Ste 102, Las Vegas, NV 89119-5123 | 2020-07-07 |
| 1508494295 | Fresenius Medical Care Nkdhc, LLC | Clinic/Center | 1000 Wellness Pl, Ste 200, Henderson, NV 89011-2338 | 2020-03-30 |
| 1972139780 | Fresenius Medical Care Nkdhc, LLC | Clinic/Center | 1051 Wellness Pl, Suite 100, Henderson, NV 89011 | 2020-03-13 |
| 1184272460 | Fresenius Medical Care Nkdhc, LLC | Clinic/Center | 255 E Warm Springs Rd, Las Vegas, NV 89119-4233 | 2019-08-29 |
| 1528629805 | Renwick Dialysis LLC | Clinic/Center | 2350 Stockton Ave, Las Vegas, NV 89104-3823 | 2019-06-26 |
| 1033622337 | Bretton Dialysis LLC | Clinic/Center | 2300 Corporate Cir Ste 100, Henderson, NV 89074-7725 | 2017-11-08 |
| 1245681170 | Ramsey Dialysis LLC | Clinic/Center | 1750 E Desert Inn Rd Ste 100, Las Vegas, NV 89169-3202 | 2016-06-22 |
| 1861875585 | Frontier Dialysis, LLC | Clinic/Center | 7316 W Cheyenne Ave, Las Vegas, NV 89129-6201 | 2015-06-30 |
| 1144650722 | Srs-ely LLC | Clinic/Center | 701 East 15th Street, Ely, NV 89301 | 2013-11-19 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89030 |
Please comment or provide details below to improve the information on GREATER LAS VEGAS DIALYSIS LLC.
| 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.