Lifelinerenalcare

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

LIFELINERENALCARE

Practice address

2517 Scotti St
Lewisville, TX 75056-5882

Phone

(630) 687-5966

NPI assigned

Aug 24, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Siji Thomas

Title

Partner

Phone

(630) 687-5955

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lifeline Renal Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lifeline Renal Care LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Greenville, TX
  • NPI 1750124244
  NPD tax ID

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750808374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 SCOTTI ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565882",
            "telephone_number": "630-687-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 SCOTTI ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565882",
            "telephone_number": "630-687-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINERENALCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SIJI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "630-687-5955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "37619064",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lewisville Surgicare Partners, LTD (Baylor Surgicare at Lewisville)
• Mario Albert Leza Jr., D.C.
• Lixia Liao
• Amanda Lidster, RD, LD
• Lifecycles, PLLC
• Lifesciences Imaging Partners, LLC
• Lifespring Home Health LLC (Lifespring Home Health)
• Lifeview Counseling
• Lifeview Solutions, GP
• Travis K Lilly, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lewisville, TX
• Providers in Lewisville, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.