Organization Active NPI

Caring Heart Metro West Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Orlando, FL
National Provider Identifier
1720559198
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 LLCCCN 682688
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Feb 28, 2020
Medicare certification status
ActiveFrom the Provider of Services file
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.