NPIMap

Organization Active NPI

Spectrum Kidney Care LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Slidell, LA
National Provider Identifier
1457028201
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SPECTRUM KIDNEY CARE LLC
Practice address
1444 Lindberg Dr # 100
Slidell, LA 70458-8056
Phone
(936) 443-5443
NPI assigned
Aug 27, 2021
Organization subpart
Yes
Parent organization
SPECTRUM KIDNEY CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Donald Savoy, LVN
Title
Coo
Phone
(936) 443-5443

Specialties & licenses 1

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

Addresses

Primary practice location

1444 Lindberg Dr # 100
Slidell, LA 70458-8056

Mailing address

PO Box 90233
Houston, TX 77290-0233
Phone (936) 443-5443

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL manager@spectrumkidney.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Part of
Spectrum Kidney Care LLC

Locations

1444 Lindberg Dr
#100
Slidell, LA 70458
Phone (936) 443-5443

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1457028201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90233",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772900233",
            "telephone_number": "936-443-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 LINDBERG DR # 100",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588056",
            "telephone_number": "936-443-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM KIDNEY CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECTRUM KIDNEY CARE LLC",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "SAVOY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "936-443-5443",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "manager@spectrumkidney.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA files",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1444 Lindberg Dr # 100",
            "city": "Slidell",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704588056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.