Active NPI
Renal Treatment Centers-Southeast, LP.
Doing business as Dialysis Care of Mesquite
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Mesquite, TX
National Provider Identifier
1083137848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- RENAL TREATMENT CENTERS-SOUTHEAST, LP.
- Doing business as
- Dialysis Care of Mesquite
- Practice address
- 2110 N Galloway Ave Ste 102
Mesquite, TX 75150-5736 - Phone
- (972) 285-1909
- Fax
- (972) 329-1063
- NPI assigned
- Jul 24, 2017
- Last updated
- Aug 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Winstel
- Title
- Chief Accounting Officer
- Phone
- (253) 733-4501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
2110 N Galloway Ave Ste 102
Mesquite, TX 75150-5736
Mailing address
5200 Virginia Way
L&C Department
Brentwood, TN 37027-7569
Phone (615) 997-4210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3949489-01 | Medicaid | TX |
Other names 1
- Dialysis Care of Mesquite
National Provider Directory
National Provider DirectoryLocations
2110 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (615) 554-0594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659571200000",
"number": "1083137848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "L&C DEPARTMENT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569",
"telephone_number": "615-997-4210",
"fax_number": "866-935-5481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 N GALLOWAY AVE STE 102",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751505736",
"telephone_number": "972-285-1909",
"fax_number": "972-329-1063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAL TREATMENT CENTERS-SOUTHEAST, LP.",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-24",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A",
"authorized_official_last_name": "WINSTEL",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
"authorized_official_telephone_number": "253-733-4501"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3949489-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dialysis Care of Mesquite",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesquite, TX
- Rehabilitation Hospital of Mesquite LLC (Mesquite Rehabilitation Institute)
- Lauren Nicole Reich, M.S. CCC-SLP
- Susan Reinke, MA, LPC
- Relyon Home & Healthcare Services Inc
- Renal Treatment Centers-Southeast, LP (Dialysis Care of Mesquite)
- Ansa Renish
- Renown Hospice Care LLC
- Renown Medical Supply LLC
- Leslie Carol Renteria, RBT
- Revived Hands LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.