DVA HEALTHCARE RENAL CARE INC (NPI# 1962431650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962431650 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE RENAL CARE INC |
| Other Organization Name | LUMBERTON DIALYSIS |
| Practice Address |
1261 Route 38 Ste B Hainesport NJ 08036-2702 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 6099144420 |
| Practice Fax Number | 6098453099 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-10-31 |
| 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 |
22348 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6845801 | 05 |
| Other Name | Type Code |
|---|---|
| Lumberton Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831690098 | Dva Healthcare Renal Care Inc | Clinic/Center | 3901 N Roxboro St Ste 108, Durham, NC 27704-2181 | 2018-02-23 |
| 1639695984 | Dva Healthcare Renal Care Inc | Clinic/Center | 209 Nc Highway 111 S, Goldsboro, NC 27534-9253 | 2017-08-18 |
| 1710351531 | Dva Healthcare Renal Care Inc | Clinic/Center | 101 Davita Ln, Elizabeth City, NC 27909-3314 | 2015-11-17 |
| 1851769848 | Dva Healthcare Renal Care Inc | Clinic/Center | 9622 Kincey Ave, Huntersville, NC 28078-9140 | 2015-09-08 |
| 1447643408 | Dva Healthcare Renal Care Inc | Clinic/Center | 1274 Ruin Creek Road, Henderson, NC 27537-4168 | 2015-03-13 |
| 1205116167 | Dva Healthcare Renal Care Inc | Clinic/Center | 11308 Hawthorne Dr, Mint Hill, NC 28227-9300 | 2011-08-24 |
| 1932363744 | Dva Healthcare Renal Care Inc | Clinic/Center | 7260 E Marshville Blvd, Marshville, NC 28103-1191 | 2008-07-11 |
| 1689868739 | Dva Healthcare Renal Care Inc | Clinic/Center | 6620 Old Statesville Rd, Charlotte, NC 28269-6768 | 2007-08-31 |
| 1700815487 | Dva Healthcare Renal Care Inc | Clinic/Center | 3053 State Route 35, Ste 201, Hazlet, NJ 07730-1526 | 2006-07-03 |
| 1508895632 | Dva Healthcare Renal Care Inc | Clinic/Center | 1164 E Route 130, Burlington, NJ 08016-2954 | 2006-07-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DVA HEALTHCARE RENAL CARE INC. | 2000 16th St, Jld/Secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
1261 ROUTE 38 STE B |
| City | HAINESPORT |
| State | NJ |
| Zip Code | 08036-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518915131 | Dorothy D. Min | Internal Medicine | 1261 Route 38, Suite A, Hainesport, NJ 08036-2702 | 2006-05-05 |
| 1851712764 | Eddita B Bakarr | Nurse Practitioner | 1261 Route 38, Suite A, Hainesport, NJ 08036-2702 | 2013-12-18 |
| 1790021301 | Suzanne Struble-frye | Nurse Practitioner | 1261 Route 38, Suite A, Hainesport, NJ 08036-2702 | 2012-12-31 |
| 1659544716 | Samir Nalin Shah | Internal Medicine | 1261 Route 38, Suite A, Hainesport, NJ 08036-2702 | 2008-04-09 |
| 1174547079 | Robert A Sirota | Internal Medicine | 1261 Route 38, Suite A, Hainesport, NJ 08036-2702 | 2006-07-26 |
| 1306870555 | Matthew Joseph Solitro | Internal Medicine | 1261 Route 38, Suite A, Hainesport, NJ 08036-2702 | 2006-07-11 |
| 1235183898 | The Center for Kidneycare, P.C. | Internal Medicine | 1261 Route 38, Suite A, Hainesport, NJ 08036 | 2006-05-19 |
| 1285683532 | Elliot Jay Suchin | Internal Medicine | 1261 Route 38, Suite A, Hainesport, NJ 08036-2702 | 2006-05-06 |
| 1285683573 | Myra Theresa Vargas | Internal Medicine | 1261 Route 38, Suite A, Hainesport, NJ 08036-2702 | 2006-05-06 |
| 1750330015 | David Seth Share | Internal Medicine | 1261 Route 38, Suite A, Hainesport, NJ 08036-2702 | 2006-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558915736 | Anthony Nguyen | Physical Therapist | Plaza 38 Shopping Center, 1509 Route 38, Suite 4, Hainesport, Nj 08036, NJ 08036 | 2019-07-26 |
| 1285133454 | Emily J Martinie | Advanced Practice Midwife | 400 Creek Crossing Blvd, 412, Hainesport, NJ 08036 | 2018-02-02 |
| 1609198381 | Michel Hyppolite | Family Medicine | 18 Bancroft Lane, Hamesport, NJ 08036 | 2010-02-22 |
| 1700119765 | Christopher T. Taylor Dc, PC | Chiropractor | 1308 Rt 38, Hainesport, NJ 08036 | 2009-09-09 |
| 1457584864 | Ken Sing Cheng | Physical Therapist | 1299 Route 38, Suite 9, Hainesport, NJ 08036 | 2009-09-02 |
| 1659514438 | Christine Kirkbride | Counselor | 1289 Route 38 Ste 203, Hainesport, NJ 08036 | 2009-04-09 |
| 1992960991 | Roanna Espino Alcera | Family Medicine | 103 Creek Crossing Boulevard, Hainesport, NJ 08036 | 2008-07-19 |
| 1255526448 | H2 Rehabilitation Services of New Jersey, LLC | Clinic/Center | 300 Creek Crossing Blvd, Suite 308, Hainesport, NJ 08036 | 2007-09-11 |
| 1811197692 | Rebecca Knight Warren | Physical Therapist | Creek Crossing Blvd, Blding 100, Ste 107, Hainesport, NJ 08036 | 2007-07-20 |
| 1235213471 | Ross Center for Orthopedics, LLC | Orthopaedic Surgery | 300 Creek Crossing Boulevard, Suite 307, Hainesport, NJ 08036 | 2006-10-24 |
| Find all providers in zip 08036 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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|---|---|---|---|---|
| 1356963938 | Usrc Gloucester, LLC | Clinic/Center | 601 Berlin Cross Keys Rd, Sicklerville, NJ 08081-9563 | 2020-05-18 |
| 1679192876 | Knickerbocker Dialysis Inc | Clinic/Center | 1734 Hancock St, Ridgewood, NJ 11385-4734 | 2020-04-09 |
| 1750910295 | Elandon Dialysis LLC | Clinic/Center | 820 N Rte 17, Paramus, NJ 07652-3104 | 2020-04-06 |
| 1780212365 | Zellier Dialysis LLC | Clinic/Center | 1260 Route 22 E, North Plainfield, NJ 07060 | 2020-03-30 |
| 1437798386 | Total Renal Care Inc | Clinic/Center | 1800 State Route 34 Ste 302, Wall Township, NJ 07719-9146 | 2019-12-24 |
| 1598306276 | Fresenius Medical Care Passaic, LLC | Clinic/Center | 10 Clifton Blvd Ste 1, Clifton, NJ 07011-3802 | 2019-10-03 |
| 1821646035 | Isd Renal Inc | Clinic/Center | 262 Broad St, Newark, NJ 07104-3809 | 2019-08-30 |
| 1699323824 | Claymount Dialysis LLC | Clinic/Center | 21 Cornwell Dr, Bridgeton, NJ 08302-3632 | 2019-08-30 |
| 1962064758 | Fresenius Medical Care Bridgeton, LLC | Clinic/Center | 12 Cornwell Dr, Bridgeton, NJ 08302-3633 | 2019-07-02 |
| 1790347698 | Wellbound of Cherry Hill, LLC | Clinic/Center | 1945 Route 70 E Ste A, Cherry Hill, NJ 08003-2117 | 2019-07-01 |
| Find all providers with the same taxonomy | ||||
| City | HAINESPORT |
| Zip Code | 08036 |
Please comment or provide details below to improve the information on DVA HEALTHCARE RENAL CARE 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.