Renal Care of Warren, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RENAL CARE OF WARREN, LLC

Practice address

2 W Crescent Park
Warren, PA 16365-2111

Phone

(814) 728-5570

Fax

(814) 728-5574

NPI assigned

Sep 1, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Alethea G. Cassidy

Title

Ceo

Phone

(814) 455-6455

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Francis Foti

  • Nephrology Physician
  • Erie, PA
  • NPI 1205835741
  NPD (past)

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720072093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 SASSAFRAS ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021858",
            "telephone_number": "814-455-6455",
            "fax_number": "814-456-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652111",
            "telephone_number": "814-728-5570",
            "fax_number": "814-728-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CARE OF WARREN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASSIDY",
        "authorized_official_first_name": "ALETHEA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-455-6455",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801089",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primary Health Network
• Thomas Gerard Pupo, RPH
• Q Pharma Inc
• Zachary Clark Ransom, LSW
• Regional Pathology Associates, PC
• Alayna J Renwick, LPC, CRC
• Kamie Dee Repine, CRNP
• Leslie Lynn Rhinehart, PSY.D.
• Craig Garry Richman, MD
• Chad Michael Ristau

• Clinic/Center in Warren, PA
• Providers in Warren, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.