Ara-Fall River Dialysis LLC

Primary specialty

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

Legal business name

ARA-FALL RIVER DIALYSIS LLC

Practice address

221 Weaver St
Units 5 & 6
Fall River, MA 02720-1345

Phone

(508) 676-0112

Fax

(508) 676-0113

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Wilcox

Title

Cfo

Phone

(978) 922-3080

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dialysis Center of Fall River Doing business as

Locations

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1235232133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WEAVER ST",
            "address_2": "UNITS 5 & 6",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201345",
            "telephone_number": "508-676-0112",
            "fax_number": "508-676-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 WEAVER ST",
            "address_2": "UNITS 5 & 6",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201345",
            "telephone_number": "508-676-0112",
            "fax_number": "508-676-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARA-FALL RIVER DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "978-922-3080",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "1301195",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FR58353",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dialysis Center of Fall River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Paul Antoine
• Audberto Cesar Antonini Gonzalez, M.D.
• Enoch Anyanwu, PMHNP-BC
• Doribel Baez Apaza
• Jill E Apicerno, M.A.
• Julliana Araujo
• Justin Araujo, LMHC
• Melanie B. Araujo, N.P.
• Vanessa Araujo
• Arbour Counseling Services

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fall River, MA
• Providers in Fall River, MA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.