Flor Dialysis LLC

Primary specialty

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

License

S3731 Issued in AL

Legal business name

FLOR DIALYSIS LLC

Doing business as

Magic City Dialysis

Practice address

300 22ND St S
Birmingham, AL 35233-2209

Phone

(205) 986-0592

Fax

(205) 321-6682

NPI assigned

Feb 16, 2011

Organization subpart

No

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

Authorized official

Name

Samuel Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Magic City Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Flor Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Birmingham, AL
  • NPI 1215234992

  9638352123

  Same PAC ID

Tax ID family

Flor Dialysis LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Flor Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Birmingham, AL
  • NPI 1215234992
  NPD tax ID

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Bainbridge Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Worth, TX
  • NPI 1699041152

  Member Of

  NPD member
• Renal Treatment Centers-Southeast, LP.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Donna, TX
  • NPI 1902353543

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Austin Dialysis Centers LP

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Austin, TX
  • NPI 1235192196

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1134426810",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 22ND ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332209",
            "telephone_number": "205-986-0592",
            "fax_number": "205-321-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOR DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "AL",
            "license": "S3731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134278",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magic City Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magic City Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Elizabeth Flemming, AU.D.
• Deaquanate Fletcher
• Latisha Fletcher
• Roger Flippen, DDS
• Kellie L Flood, MD
• Flor Dialysis LLC
• Catherine Florence
• Monina Florendo, P.T.
• Alejandra Maria Flores
• James M Flournoy Jr., PHD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.