Organization Active NPI

Reliant Renal Care Bessemer Home Choice LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bessemer, AL
National Provider Identifier
1437586641
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
RELIANT RENAL CARE BESSEMER HOME CHOICE LLC
Practice address
650 9TH Ave N.
Bessemer, AL 35020
Phone
(610) 892-4700
Fax
(610) 892-9760
NPI assigned
Oct 2, 2013
Organization subpart
Yes
Parent organization
RELIANT RENAL CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Nola MC Mullen
Title
Coo
Phone
(307) 287-7640

Specialties & licenses 1

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

Addresses

Primary practice location

650 9TH Ave N.
Bessemer, AL 35020

Mailing address

1400 N Providence Rd
BLD II Suite 1040
Media, PA 19063-2043
Phone (610) 892-4700

Other names 1

  • RRC Bessemer Home Doing business as

National Provider Directory

National Provider Directory

Locations

650 9TH Ave N
Bessemer, AL 35020
Phone (610) 892-4700

650 9th Ave SW
#104
Bessemer, AL 35022
Phone (205) 425-5428

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1437586641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N PROVIDENCE RD",
            "address_2": "BLD II SUITE 1040",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632043",
            "telephone_number": "610-892-4700",
            "fax_number": "610-892-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 9TH AVE N.",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "35020",
            "telephone_number": "610-892-4700",
            "fax_number": "610-892-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT RENAL CARE BESSEMER HOME CHOICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIANT RENAL CARE, INC",
        "enumeration_date": "2013-10-02",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "MC MULLEN",
        "authorized_official_first_name": "NOLA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "307-287-7640"
    },
    "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": "RRC Bessemer Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.