NPIMap

Organization Active NPI

Reach Kidney Care LLC

Doing business as Dothan REACH CKD Clinic

  • Case Management Agency
  • Dothan, AL
National Provider Identifier
1740891811
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
REACH KIDNEY CARE LLC
Doing business as
Dothan REACH CKD Clinic
Practice address
810 Hedstrom Dr Ste 2
Dothan, AL 36301-4774
Phone
(251) 423-5720
NPI assigned
Aug 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Authorized official

Name
Donovan Schultz
Title
President
Phone
(615) 327-3061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

810 Hedstrom Dr Ste 2
Dothan, AL 36301-4774

Mailing address

1633 Church St Ste 500
Nashville, TN 37203-2948
Phone (615) 342-0498

Other names 1

  • Dothan REACH CKD Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Reach Kidney Care LLC19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1740891811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 CHURCH ST STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032948",
            "telephone_number": "615-342-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HEDSTROM DR STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014774",
            "telephone_number": "251-423-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH KIDNEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dothan REACH CKD Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dothan REACH CKD Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.