Nra Manchester Tennessee LLC

Primary specialty

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

License

0000000156 Issued in TN

Legal business name

NRA MANCHESTER TENNESSEE LLC

Doing business as

U.S. Renal Care Manchester Dialysis

Practice address

367 Interstate Dr
Manchester, TN 37355-3108

Phone

(931) 728-7733

Fax

(931) 728-5595

NPI assigned

Jun 1, 2006

Last updated

Jun 13, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

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

Authorized official

Name

Thomas L. Weinberg

Title

Authorized Official

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• U.S. Renal Care Manchester Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

Usrc Manchester DialysisCCN 442665

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Apr 19, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Diversified Specialty Institutes (DSI)

Dialysis stations

16

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

CLIA laboratory certificates

Part of

US Renal Care Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dialysis Newco LLC

  dba U.S. Renal Care Bryan Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bryan, TX
  • NPI 1578839080

  Member Of

  NPD member

Affiliated clinicians 4

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

• Zaid A Brifkani

  • Nephrology Physician
  • Cookeville, TN
  • NPI 1457516163

  Dialysis facility

  Care Compare affiliation Name & address match
• Oladapo O Omitowoju, M.D.

  • Nephrology Physician
  • Tullahoma, TN
  • NPI 1407848104

  Dialysis facility

  Care Compare affiliation Name & address match
• Teresa M Patterson, MD

  • Family Medicine Physician
  • Tullahoma, TN
  • NPI 1265494488

  Dialysis facility

  Care Compare affiliation Name & address match
• Gabino Manuel Mariano Maza Rodas, M.D.

  • Nephrology Physician
  • Madison, WI
  • NPI 1710484241

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1467499343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 CHURCH ST",
            "address_2": "SUITE 1900",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192301",
            "telephone_number": "615-263-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 INTERSTATE DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553108",
            "telephone_number": "931-728-7733",
            "fax_number": "931-728-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NRA MANCHESTER TENNESSEE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TN",
            "license": "0000000156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE OF WAIVE",
            "identifier": "44D1051727",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Manchester Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "U.S. Renal Care Manchester Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shon Patrick Nolin, DO
• Rebecca Lynn Norfleet, FNP-BC
• Sarah Christine Norfleet, PA-C
• Northland Hearing Center, Inc. (The Hearing Aid Center)
• Now I Lay Me Down to Sleep, Inc (Now, Inc)
• James R Nunley, DO
• Exa Freuler Ogden, RD, LDN
• Uju Annie Onyia
• Richard Opoku, PHARMD
• Katherine E Orr, CRNP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Manchester, TN
• Providers in Manchester, TN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.