Organization Active NPI

American Renal Care Inc

  • Dialysis Equipment & Supplies (DME)
  • Stone Mountain, GA
National Provider Identifier
1124246814
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X
Legal business name
AMERICAN RENAL CARE INC
Practice address
1999 Parker CT
Suite B
Stone Mountain, GA 30087-3474
Phone
(678) 344-6889
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Mrs. Donna M Poulsen
Title
Treasurer Account Manager
Phone
(678) 344-6889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dialysis Equipment & Supplies (DME) 332BD1200X Primary

Addresses

Primary practice location

1999 Parker CT
Suite B
Stone Mountain, GA 30087-3474

Mailing address

8745 Cobblestone Point Cir
Boynton Beach, FL 33472-4440
Phone (678) 344-6889

National Provider Directory

National Provider Directory

Locations

1999 Parker Ct
Ste B
Stone Mountain, GA 30087
Phone (678) 344-6889

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1124246814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8745 COBBLESTONE POINT CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724440",
            "telephone_number": "678-344-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 PARKER CT",
            "address_2": "SUITE B",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873474",
            "telephone_number": "678-344-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "POULSEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TREASURER ACCOUNT MANAGER",
        "authorized_official_telephone_number": "678-344-6889",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.