Usrc Cuyahoga Falls, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

USRC CUYAHOGA FALLS, LLC

Doing business as

U.S. Renal Care Cuyahoga Falls Dialysis

Practice address

421 Portage TRL
Ste B
Cuyahoga Falls, OH 44221-3227

Phone

(330) 928-7970

Fax

(330) 928-7680

NPI assigned

Jan 13, 2015

Organization subpart

Yes

Parent organization

U.S. RENAL CARE INCAs reported in NPPES

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

Authorized official

Name

Thomas L. Weinberg

Title

Authorized Representative

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• U.S. Renal Care Cuyahoga Falls Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

USRC Cuyahoga FallsCCN 362832

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Nov 10, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

13

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

US Renal Care Inc

Locations

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Preti Bala Chaturvedi, M.D.

  • Specialist
  • Akron, OH
  • NPI 1497860365

  Dialysis facility

  Care Compare affiliation Name & address match
• Datinder Bir Singh Deo, MD

  • Nephrology Physician
  • Cuyahoga Falls, OH
  • NPI 1952422917

  Dialysis facility

  Care Compare affiliation Name & address match
• Rajat Maheshwari, M.D.

  • Nephrology Physician
  • Cuyahoga Falls, OH
  • NPI 1346479458

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1093104184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844631",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844631",
            "telephone_number": "870-931-5400",
            "fax_number": "870-931-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 PORTAGE TRL",
            "address_2": "STE B",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213227",
            "telephone_number": "330-928-7970",
            "fax_number": "330-928-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC CUYAHOGA FALLS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE INC",
        "enumeration_date": "2015-01-13",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "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": "0153675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Cuyahoga Falls Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pamela Valentine, RPH
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• Sydney Van Scyoc
• Jessica Lynn Vanhoutan, EDS
• Josie Vano

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.