Organization Active NPI

Usrc Las Cruces LLC

Doing business as U.S. Renal Care Las Cruces Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Las Cruces, NM
National Provider Identifier
1235636283
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
USRC LAS CRUCES LLC
Doing business as
U.S. Renal Care Las Cruces Dialysis
Practice address
250 E Amador Ave
Las Cruces, NM 88001-3649
Phone
(575) 223-0783
Fax
(575) 223-0784
NPI assigned
Apr 6, 2018
Organization subpart
Yes
Parent organization
U.S. RENAL CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Authorized official

Name
Thomas L Weinberg
Title
Chairman
Phone
(214) 736-2730

Specialties & licenses 1

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

Addresses

Primary practice location

250 E Amador Ave
Las Cruces, NM 88001-3649

Mailing address

PO Box 251549
Plano, TX 75025-1500

Other names 1

  • U.S. Renal Care Las Cruces Dialysis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180529000863 NM Part A Provider - End-Stage Renal Disease Facility (ESRD) 4688939481 Practice locations: Las Cruces, NM

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
USRC Las CrucesCCN 322559
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Mar 1, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Chain
US Renal Care, Inc.
Dialysis stations
13

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2146224Usrc Las Cruces LLC Dba U S Renal Care Las Cruces250 E Amador Ave Suite B, Las Cruces, NM 88001Certificate of waiverMar 25, 2028

National Provider Directory

National Provider Directory
Part of
US Renal Care Inc

Locations

250 E Amador Ave
Ste B
Las Cruces, NM 88001
Phone (575) 223-0783

250 E Amador Ave
Las Cruces, NM 88001
Phone (575) 223-0783

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1235636283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E AMADOR AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013649",
            "telephone_number": "575-223-0783",
            "fax_number": "575-223-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC LAS CRUCES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "214-736-2730"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Las Cruces Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.