Organization Active NPI

Usrc Monroe, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Monroe, GA
National Provider Identifier
1326583352
Registry record updated Jan 15, 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 MONROE, LLC
Practice address
2161 W Spring St
Ste B
Monroe, GA 30655-0000
Phone
(214) 736-2700
Fax
(214) 736-2733
NPI assigned
Dec 29, 2016
Last updated
Jan 15, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
U.S. RENAL CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2018

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

Authorized official

Name
Thomas L Weinberg
Title
Authorized Official
Phone
(214) 736-2700

Specialties & licenses 1

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

Addresses

Primary practice location

2161 W Spring St
Ste B
Monroe, GA 30655-0000

Mailing address

PO Box 639193
Cincinnati, OH 45263-9193
Phone (214) 736-2700

National Provider Directory

National Provider Directory
Part of
US Renal Care Inc

Member of 1

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

Locations

2151 W Spring St
Ste B
Monroe, GA 30655
Phone (678) 635-3641

2161 W Spring St
Ste B
Monroe, GA 30655
Phone (678) 635-3641

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1326583352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639193",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639193",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 W SPRING ST",
            "address_2": "STE B",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306550000",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC MONROE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2016-12-29",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.