Organization Active NPI

Usrc North Aiken, LLC

Doing business as US Renal Care North Aiken Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Aiken, SC
National Provider Identifier
1629406384
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
USRC NORTH AIKEN, LLC
Doing business as
US Renal Care North Aiken Dialysis
Practice address
208 University Parkway
Suite 208
Aiken, SC 29801
Phone
(803) 642-2670
Fax
(803) 644-1528
NPI assigned
Oct 16, 2013
Last updated
Jan 7, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
US RENAL CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Thomas L Weinberg
Title
Senior Vice-President Gen Counsel
Phone
(214) 736-2700

Specialties & licenses 1

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

Addresses

Primary practice location

208 University Parkway
Suite 208
Aiken, SC 29801

Mailing address

PO Box 19119
Jonesboro, AR 72403-6601
Phone (870) 931-5400

Other identifiers 1

IdentifierTypeStateIssuer
RE0054MedicaidSC

Other names 1

  • US Renal Care North Aiken Dialysis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131219000213 SC Part A Provider - End-Stage Renal Disease Facility (ESRD) 5496982472 Practice locations: Aiken, SC

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
USRC North Aiken DialysisCCN 422646
Overall star rating
3.0 of 5
Ownership
Profit
Certified
May 22, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Chain
US Renal Care, Inc.
Dialysis stations
13

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2068286Usrc North Aiken208 University Parkway, Ste 208, Aiken, SC 29801Certificate of waiverOct 30, 2027

National Provider Directory

National Provider Directory
Part of
US Renal Care Inc

Locations

208 University Pkwy
Ste 208
Aiken, SC 29801
Phone (803) 642-2670

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1629406384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19119",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036601",
            "telephone_number": "870-931-5400",
            "fax_number": "870-931-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 UNIVERSITY PARKWAY",
            "address_2": "SUITE 208",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29801",
            "telephone_number": "803-642-2670",
            "fax_number": "803-644-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC NORTH AIKEN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE, INC.",
        "enumeration_date": "2013-10-16",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VICE-PRESIDENT GEN COUNSEL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "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": "RE0054",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US Renal Care North Aiken Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.