PHYSICIANS DIALYSIS ACQUISITIONS INC (NPI# 1972564490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972564490 |
Entity Type | Organization |
Organization Name | PHYSICIANS DIALYSIS ACQUISITIONS INC |
Other Organization Name | ENGLISH VILLAGE DIALYSIS |
Practice Address |
11707 Whittier Ave Detroit MI 48224-1537 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 3135091653 |
Practice Fax Number | 3135091655 |
Mailing Telephone | 6153204514 |
Mailing Fax Number | 8665949961 |
Enumeration Date | 2006-04-01 |
Last Update Date | 2020-10-05 |
Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334501 |
Is Organization Subpart | Y |
Parent Organization Name | DAVITA INC |
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 |
---|---|---|---|
MI | 4568174 | 05 |
Other Name | Type Code |
---|---|
English Village Dialysis | Doing Business As Name - Organization |
PDI Cadieux | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346374436 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 19 Glennie St, Ste A, Worcester, MA 01605-3918 | 2007-03-14 |
1073575882 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 344 Budfield St, Johnstown, PA 15904-3214 | 2006-04-05 |
1568424455 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 1230 Ekhart St Ne, Grand Rapids, MI 49503-1372 | 2006-04-05 |
1528020021 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 64 Victor St, Highland Park, MI 48203-3128 | 2006-04-03 |
1699736116 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 16964 Robbins Rd, Suite 203, Grand Haven, MI 49417-2796 | 2006-04-01 |
1508827023 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 801 Cherry St Se, Grand Rapids, MI 49506-1440 | 2006-04-01 |
1053387738 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 30 Waterchase Dr, Rocky Hill, CT 06067-2110 | 2006-02-23 |
1386606184 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 3905 Ford Rd, Philadelphia, PA 19131-2824 | 2006-04-05 |
1396707113 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 834 Walnut St, Philadelphia, PA 19107-5109 | 2006-04-05 |
1417919200 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 429 Manor Dr, Ste 650, Ebensburg, PA 15931-4917 | 2006-04-05 |
Street Address |
11707 WHITTIER AVE |
City | DETROIT |
State | MI |
Zip Code | 48224-1537 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508403767 | Renia Scott | Licensed Practical Nurse | 5211 Berkshire St, Detroit, MI 48224 | 2019-12-06 |
1063928612 | Edith Neely-harris | Registered Nurse | 1203 Courville Street, Detroit, MI 48224 | 2017-12-19 |
1043767585 | Annette Jackson | Counselor | 10666 Duprey St, Detroit, MI 48224 | 2016-09-01 |
1164977807 | Dehvin White-peck | Technician, Other | 4529 Harvard Rd, Detroit, MI 48224 | 2016-08-23 |
1992153704 | Andrea Henderson | Licensed Practical Nurse | 9131 Bradford, Detroit, MI 48224 | 2016-06-02 |
1467807578 | Venus Staffing LLC | Nursing Care | 5601 Devonshire Rd, Detroit, MI 48224 | 2016-04-26 |
1558795625 | Rafia El-alayli | Internal Medicine | 9901 Whittier Ave, Detroit, MI 48224 | 2013-08-26 |
1831334259 | House of Hearts Ministry, Inc. | Voluntary or Charitable | 11151 Worden, Detroit, MI 48224 | 2008-12-15 |
1992994636 | Lilian Lai Md PC | Clinic/Center | 15850 E Warren Ave, Detroit, MI 48224 | 2007-10-18 |
1184845844 | Tymon C Totte | Dentist | 17700 Mack Ave, Great Expressions Dental Centers, Gross Pointe, MI 48224 | 2007-05-01 |
Find all providers in zip 48224 |
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 |
---|---|---|---|---|
1740789536 | Plover Dialysis LLC | Clinic/Center | 13945 Wyoming St, Detroit, MI 48238-2333 | 2018-02-07 |
1295192979 | Detroit Kidney Center LLC | Clinic/Center | 13437 Schaefer Hwy, Detroit, MI 48227-3538 | 2016-01-26 |
1245533371 | Chakudaku, Inc. | Clinic/Center | 1401 Rosa Parks Blvd, Detroit, MI 48216-1953 | 2010-12-11 |
1770816498 | Advanced Dialysis of Greater Detroit LLC | Clinic/Center | 18600 James Couzens Hwy, Detroit, MI 48235-2509 | 2009-09-14 |
1528294691 | Nephrology Center of Detroit LLC | Clinic/Center | 20001 Livernois Ave Ste 500, Detroit, MI 48221-4123 | 2009-06-03 |
1730227646 | Grosse Pointe Dialysis LLC | Clinic/Center | 18000 E Warren Ave, Ste 100, Detroit, MI 48224-1336 | 2007-02-02 |
1730286014 | Optimal Care Dialysis | Clinic/Center | 18600 James Couzens Fwy, Detroit, MI 48235-2509 | 2006-09-20 |
1538265335 | Afton Nephrology Associates | Clinic/Center | 19800 Woodward Ave, Detroit, MI 48203-5102 | 2006-09-16 |
1871608612 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 18430 Livernois Ave, Detroit, MI 48221-3295 | 2006-08-20 |
1093820839 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 18944 Grand River Ave, Detroit, MI 48223-2270 | 2006-08-20 |
Find all providers in DETROIT |
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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.