70820 Ventures, LLC

Key facts

NPI

1346833985

Entity type

Organization (NPI type 2)

Primary specialty

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

Legal business name

70820 VENTURES, LLC

Practice address

3745 Broadway
Fort Myers, FL 33901-8101

Phone

(239) 689-7372

Fax

(239) 689-7569

NPI assigned

Feb 15, 2021

Organization subpart

Yes

Parent organization (as reported)

U.S. RENAL CARE, INC.

Authorized official

Name

Thomas L Weinberg

Title

Chairman

Phone

(214) 736-2700

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Syeda Sumera Khan, MD Nephrology Physician · Fort Myers, FL · NPI 1457554529
  Care Compare affiliation Name & address match Dialysis facility
• Meloney Oliveira, MD Nephrology Physician · Fort Myers, FL · NPI 1952897084
  Care Compare affiliation Name & address match Dialysis facility

Medicare Care Compare: Dialysis facility

Listed as

USRC Fort Myers Dialysis CCN 682720

Overall star rating

★★☆☆☆ 2.0 of 5

Ownership

Profit

Certified

May 27, 2021

Medicare certification status

Active (Provider of Services file)

Chain

US Renal Care, Inc.

Dialysis stations

16

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

Laboratory certificates & supplier records

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

CLIA laboratory certificates

Medicare participation

Medicare fee-for-service enrollment

Enrolled in FL

Medicare enrollment records

National Provider Directory

Part of

US Renal Care Inc

Locations

Networks

• Freedom Health HMO Network
  Plans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO Network
  Plans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Specialties & licenses

Addresses

Other names

• U.S. Renal Care Fort Myers Dialysis Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 15, 2021.

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1346833985",
    "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",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018101",
            "telephone_number": "239-689-7372",
            "fax_number": "239-689-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "70820 VENTURES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "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": "214-736-2700"
    },
    "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 Fort Myers Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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