Organization Active NPI

Usrc Weymouth, LLC

Doing business as U.S. Renal Care Weymouth Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Weymouth, MA
National Provider Identifier
1114385978
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
USRC WEYMOUTH, LLC
Doing business as
U.S. Renal Care Weymouth Dialysis
Practice address
587 Washington St
Weymouth, MA 02188-3441
Phone
(781) 340-3938
Fax
(781) 340-3691
NPI assigned
Feb 8, 2016
Last updated
Feb 8, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
U.S. RENAL CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Authorized official

Name
Thomas L. Weinberg
Title
Authorized Rep
Phone
(214) 736-2700

Specialties & licenses 1

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

Addresses

Primary practice location

587 Washington St
Weymouth, MA 02188-3441

Mailing address

2400 Dallas Pkwy
Ste 350
Plano, TX 75093-4370
Phone (214) 736-2700

Other names 1

  • U.S. Renal Care Weymouth Dialysis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160412000947 MA Part A Provider - End-Stage Renal Disease Facility (ESRD) 6103124912 Practice locations: Weymouth, MA

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
USRC Weymouth DialysisCCN 222589
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Jun 8, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Chain
US Renal Care, Inc.
Dialysis stations
24

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Part of
US Renal Care Inc

Locations

587 Washington St
Weymouth, MA 02188
Phone (781) 340-3938

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1114385978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 DALLAS PKWY",
            "address_2": "STE 350",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934370",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 WASHINGTON ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021883441",
            "telephone_number": "781-340-3938",
            "fax_number": "781-340-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC WEYMOUTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED REP",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Weymouth Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.