Star Dialysis LLC

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

STAR DIALYSIS LLC

Practice address

4145 Lake Meadow Dr
Racine, WI 53402-5321

Phone

(262) 488-1530

NPI assigned

Nov 9, 2016

Last updated

Nov 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aakash Desai

Title

Founder/Ceo

Phone

(262) 488-1530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1518409465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 LAKE MEADOW DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534025321",
            "telephone_number": "262-488-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 LAKE MEADOW DR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534025321",
            "telephone_number": "262-488-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "AAKASH",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "262-488-1530"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Disabilities Residential Treatment Facility in Racine, WI
• Providers in Racine, WI by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.