Organization Active NPI

Hollywood Artificial Kidney Center LTD

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hollywood, FL
National Provider Identifier
1467432138
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
HOLLYWOOD ARTIFICIAL KIDNEY CENTER LTD
Practice address
1 Oakwood Blvd
Suite 100
Hollywood, FL 33020-1956
Phone
(954) 894-7500
Fax
(954) 894-7700
NPI assigned
Jan 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Mrs. Vicki L Burrier, RN, MBA
Title
Director Vice-President
Phone
(954) 474-7701

Specialties & licenses 1

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

Addresses

Primary practice location

1 Oakwood Blvd
Suite 100
Hollywood, FL 33020-1956

Mailing address

7061 Cypress Rd
Suite 104
Plantation, FL 33317-2243
Phone (954) 474-7701

Other identifiers 2

IdentifierTypeStateIssuer
211645600MedicaidFL
V5ROtherFLBC/BS PROVIDER NO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1467432138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7061 CYPRESS RD",
            "address_2": "SUITE 104",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172243",
            "telephone_number": "954-474-7701",
            "fax_number": "954-474-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OAKWOOD BLVD",
            "address_2": "SUITE 100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201956",
            "telephone_number": "954-894-7500",
            "fax_number": "954-894-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD ARTIFICIAL KIDNEY CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "BURRIER",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR VICE-PRESIDENT",
        "authorized_official_telephone_number": "954-474-7701",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MBA"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211645600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NO",
            "identifier": "V5R",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.