NPIMap

Organization Active NPI

Quality Renal Care LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Marengo, IL
National Provider Identifier
1154374650
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
QUALITY RENAL CARE LLC
Practice address
910 B Greenlee Street
Marengo, IL 60152
Phone
(815) 568-5800
Fax
(815) 568-5900
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Mrs. Beth Ann Girard, RN
Title
Renal Administrator
Phone
(847) 426-6456

Specialties & licenses 1

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

Addresses

Primary practice location

910 B Greenlee Street
Marengo, IL 60152

Mailing address

910 B Greenlee Street
Marengo, IL 60152
Phone (815) 568-5800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1154374650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 B GREENLEE STREET",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "60152",
            "telephone_number": "815-568-5800",
            "fax_number": "815-568-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 B GREENLEE STREET",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "60152",
            "telephone_number": "815-568-5800",
            "fax_number": "815-568-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY RENAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "GIRARD",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "RENAL ADMINISTRATOR",
        "authorized_official_telephone_number": "847-426-6456",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marengo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.