Organization Active NPI

Oakland Dialysis Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lauderdale Lakes, FL
National Provider Identifier
1396283339
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
OAKLAND DIALYSIS CENTER LLC
Practice address
3250 N State Road 7
Reef Plaza
Lauderdale Lakes, FL 33319-5615
Phone
(954) 717-2293
Fax
(954) 717-4128
NPI assigned
Feb 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Sara Anne Brady
Title
Chief Nursing Officer
Phone
(208) 371-7878

Specialties & licenses 1

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

Addresses

Primary practice location

3250 N State Road 7
Reef Plaza
Lauderdale Lakes, FL 33319-5615

Mailing address

3250 N State Road 7
Reef Plaza
Lauderdale Lakes, FL 33319-5615
Phone (954) 717-2293

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170308001517 FL Part A Provider - End-Stage Renal Disease Facility (ESRD) 5193009207 Practice locations: Lauderdale Lakes, FL

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Oakland Dialysis Center LLCCCN 682644
Overall star rating
2.0 of 5
Ownership
Profit
Certified
May 11, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Chain
American Renal Associates
Dialysis stations
17

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
10D2124112Oakland Dialysis Center LLC3250 North State Rd 7, Lauderdale Lakes, FL 33319Certificate of waiverJan 9, 2027

National Provider Directory

National Provider Directory

Locations

3250 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 717-2293

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": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1396283339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 N STATE ROAD 7",
            "address_2": "REEF PLAZA",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195615",
            "telephone_number": "954-717-2293",
            "fax_number": "954-717-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 N STATE ROAD 7",
            "address_2": "REEF PLAZA",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195615",
            "telephone_number": "954-717-2293",
            "fax_number": "954-717-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "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 Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.