Organization Active NPI

Advantage Renal Care LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brownsville, TX
National Provider Identifier
1053636191
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ADVANTAGE RENAL CARE LLC
Practice address
1601 E Alton Gloor Blvd
Ste 105
Brownsville, TX 78526-3902
Phone
(956) 466-8237
Fax
(888) 943-2228
NPI assigned
Apr 1, 2010
Last updated
Oct 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert Isbell, RN
Title
LLC Manager
Phone
(956) 466-8237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

1601 E Alton Gloor Blvd
Ste 105
Brownsville, TX 78526-3902

Mailing address

3169 Calle Maravillosa
Brownsville, TX 78526-1240
Phone (956) 466-8237

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1053636191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3169 CALLE MARAVILLOSA",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261240",
            "telephone_number": "956-466-8237",
            "fax_number": "888-943-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E ALTON GLOOR BLVD",
            "address_2": "STE 105",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263902",
            "telephone_number": "956-466-8237",
            "fax_number": "888-943-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE RENAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "ISBELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "LLC MANAGER",
        "authorized_official_telephone_number": "956-466-8237",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.