Active NPI
Rai Care Centers of Florida I, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Punta Gorda, FL
National Provider Identifier
1740299734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- RAI CARE CENTERS OF FLORIDA I, LLC
- Practice address
- 355 Dupont St
Punta Gorda, FL 33950-3809 - Phone
- (941) 505-0777
- Fax
- (941) 505-0779
- NPI assigned
- Aug 7, 2006
- Organization subpart
- Yes
- Parent organization
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark R Fawcett
- Title
- Treasurer
- Phone
- (781) 699-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
355 Dupont St
Punta Gorda, FL 33950-3809
Mailing address
355 Dupont St
Punta Gorda, FL 33950-3809
Phone (941) 505-0777
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891156800 | Medicaid | FL | |
| 7819900 | Other | FL | AETNA |
| V7P | Other | FL | BCBS |
Other names 1
- RAI-DuPont-Punta Gorda
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Fresenius Medical Care Bristol
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bristol, TN
- NPI 1477570117
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556236800000",
"number": "1740299734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 DUPONT ST",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339503809",
"telephone_number": "941-505-0777",
"fax_number": "941-505-0779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 DUPONT ST",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339503809",
"telephone_number": "941-505-0777",
"fax_number": "941-505-0779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAI CARE CENTERS OF FLORIDA I, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
"enumeration_date": "2006-08-07",
"last_updated": "2019-04-26",
"status": "A",
"authorized_official_last_name": "FAWCETT",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "781-699-9000",
"authorized_official_name_prefix": "Mr."
},
"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": "891156800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7819900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "V7P",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RAI-DuPont-Punta Gorda",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "RAI-DuPont-Punta Gorda",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.