Renalsouth of Rogers, LLC

Primary specialty

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

Legal business name

RENALSOUTH OF ROGERS, LLC

Practice address

101 N 37TH St
Rogers, AR 72756-0301

Phone

(205) 271-2129

NPI assigned

Mar 18, 2010

Organization subpart

Yes

Parent organization

RENALSOUTH OF ARKANSASAs reported in NPPES

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

Authorized official

Name

Charlotte P Anthony

Title

Coo

Phone

(205) 271-2129

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1497079586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 GEMINI CIR",
            "address_2": "SUITE 418",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095874",
            "telephone_number": "205-271-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 37TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560301",
            "telephone_number": "205-271-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENALSOUTH OF ROGERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENALSOUTH OF ARKANSAS",
        "enumeration_date": "2010-03-18",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "205-271-2129"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12D01",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190358134",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd M Reiff, LCSW,ACSW
• Relational Wholeness PLLC
• Darion J Releford
• Renal Treatment Centers - Southeast, LP
• Celino Cinco Renales, PHYSICAL THERAPIST
• Maci Caye Renner
• Renova Wellness & Aesthetics LLC
• Christine Ann Renuart, LCSW
• Kyra Sampaio Resende
• Anne Resler, MS, LAMFT, LAC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Rogers, AR
• Providers in Rogers, AR by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.