Sun City West Dialysis Center LLC

Primary specialty

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

License

OTC4393 Issued in AZ

Legal business name

SUN CITY WEST DIALYSIS CENTER LLC

Doing business as

Westbrook Dialysis

Practice address

13907 W Camino del Sol
Ste 103
Sun City West, AZ 85375-4405

Phone

(623) 214-7088

Fax

(623) 214-0109

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

John D Winstel

Title

Chief Accounting Officer

Phone

(253) 733-4501

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Westbrook Dialysis Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Southwest Kidney Institute, PLC

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1659316008

  Member Of

  NPD member
• Total Renal Care Inc

  dba Cascade Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1780879874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-6814",
            "fax_number": "800-293-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13907 W CAMINO DEL SOL",
            "address_2": "STE 103",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754405",
            "telephone_number": "623-214-7088",
            "fax_number": "623-214-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY WEST DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4501"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "AZ",
            "license": "OTC4393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361802",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westbrook Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westbrook Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lyudmyla Storch, NP
• Kathleen Anne Street, OTR
• Sun Chiropractic PLLC
• Sun City Dental Associates LLC (Gold Star Dental Station)
• Sun City West Chiropractic, PLLC
• Sun City West Eye Care PLLC
• Sun Health Corporation (Sun Health Del E. Webb Hospital)
• Sun Health Corporation
• Sun Health Corporation (Del E. Webb Psych Unit)
• Sun Health Corporation (Del E. Webb Rehab Unit)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.