Active NPI
Caring Heart Metro West Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Orlando, FL
National Provider Identifier
1720559198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- CARING HEART METRO WEST DIALYSIS LLC
- Practice address
- 1743 Park Center Dr Ste 300
Orlando, FL 32835-7621 - Phone
- (305) 308-8676
- NPI assigned
- Dec 11, 2018
- Last updated
- Dec 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tracey Jean
- Title
- Member Manager
- Phone
- (305) 308-8676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1743 Park Center Dr Ste 300
Orlando, FL 32835-7621
Mailing address
7786 Newlan Dr
Orlando, FL 32818-1231
Phone (305) 308-8676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200212001067 | FL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 9739426214 | Practice locations: Orlando, FL |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Caring Heart Metro West Dialysis LLC
- Overall star rating
- Ownership
- Profit
- Certified
- Feb 28, 2020
- Medicare certification status
- Active
- Dialysis stations
- 11
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider DirectoryLocations
1743 Park Center Dr
Ste 300
Orlando, FL 32835
Phone (407) 378-7169
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Nephrology Physician
- Winter Garden, FL
- NPI 1679739411
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544486400000",
"number": "1720559198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7786 NEWLAN DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328181231",
"telephone_number": "305-308-8676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1743 PARK CENTER DR STE 300",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328357621",
"telephone_number": "305-308-8676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARING HEART METRO WEST DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-11",
"last_updated": "2018-12-11",
"status": "A",
"authorized_official_last_name": "JEAN",
"authorized_official_first_name": "TRACEY",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "305-308-8676",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.