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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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, 2015
- Organization subpart
- Yes
- Parent organization
- US RENAL CARE, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RE0054 | Medicaid | SC |
Other names 1
- US Renal Care North Aiken Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- May 22, 2014
- Medicare certification status
- Active
- 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2068286 | Usrc North Aiken | Certificate of waiver | Oct 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
- University of South Carolina Aiken
- University of South Carolina Aiken (USCA Sports Medicine)
- University Primary Care Aiken, LLC (UMG Primary Care Aiken)
- Kendra Upson Williams, CACP
- David Edward Urbanawiz, DMD
- Usrc South Aiken LLC (US Renal Care South Aiken Dialysis)
- Elizabeth Brooke Usry, DMD
- Janet L Utz, MD
- Ekin Can Uzunoglu, MD
- Vageo Inc
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.