Organization Active NPI

Vip Kidney Health, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1780050336
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
VIP KIDNEY HEALTH, LLC
Practice address
2605 W Atlantic Avenue
Suite C101
Delray Beach, FL 33445
Phone
(561) 403-5201
Fax
(561) 403-5244
NPI assigned
Aug 18, 2015
Last updated
Feb 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Authorized official

Name
Andreana Casale
Title
Administrator
Phone
(561) 403-5201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

2605 W Atlantic Avenue
Suite C101
Delray Beach, FL 33445

Mailing address

2605 W Atlantic Ave
Suite C101
Delray Beach, FL 33445-4413
Phone (561) 403-5201

National Provider Directory

National Provider Directory

Locations

2605 W Atlantic Ave
Ste C101
Delray Beach, FL 33445
Phone (561) 403-5201

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1780050336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 W ATLANTIC AVE",
            "address_2": "SUITE C101",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454413",
            "telephone_number": "561-403-5201",
            "fax_number": "561-403-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 W ATLANTIC AVENUE",
            "address_2": "SUITE C101",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33445",
            "telephone_number": "561-403-5201",
            "fax_number": "561-403-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP KIDNEY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "CASALE",
        "authorized_official_first_name": "ANDREANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-403-5201"
    },
    "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 Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.