Ara-Daytona Beach Dialysis LLC

Primary specialty

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

Legal business name

ARA-DAYTONA BEACH DIALYSIS LLC

Practice address

720 N Clyde Morris Blvd
Daytona Beach, FL 32114-1604

Phone

(386) 947-9872

Fax

(386) 947-9873

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Shari Cousins

Title

Sr. VP of Clinical & Regulatory

Phone

(978) 922-3080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dialysis Care Center of Daytona Doing business as

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1801907407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141604",
            "telephone_number": "386-947-9872",
            "fax_number": "386-947-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141604",
            "telephone_number": "386-947-9872",
            "fax_number": "386-947-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARA-DAYTONA BEACH DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "COUSINS",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "SR. VP OF CLINICAL & REGULATORY",
        "authorized_official_telephone_number": "978-922-3080",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "891326900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dialysis Care Center of Daytona",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dialysis Care Center of Daytona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emeka Obi Anyiam, LMFT
• Jara Apperley
• Sandra Charlotte Applegarth, PHARM D
• Apria Healthcare LLC
• Aqua Park Physical Therapy, Inc.
• Dinesh Arab, M.D.
• Pablo Aramayo, LMT
• Constanza R Aranda Garcia, PT, DPT, MSPH
• Arbor Vitae Natural Health Care, LLC
• Jacob L Armanious, DDS

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.