RCP Dialysis at Home LLC

Primary specialty

Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X

Legal business name

RCP DIALYSIS AT HOME LLC

Practice address

4970 SW 52ND St
Suite 325
Davie, FL 33314-5531

Phone

(305) 512-0014

NPI assigned

Aug 7, 2009

Last updated

Aug 7, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

RENAL CAREPARTNERS INCAs reported in NPPES

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

Authorized official

Name

Ms. Joan Clements

Title

VP

Phone

(305) 512-0014

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1548491525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD",
            "address_2": "300 N",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216751",
            "telephone_number": "305-512-0014",
            "fax_number": "800-986-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4970 SW 52ND ST",
            "address_2": "SUITE 325",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333145531",
            "telephone_number": "305-512-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCP DIALYSIS AT HOME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENAL CAREPARTNERS INC",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "305-512-0014",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.