Renal Services of America Fhphc Dialysis. LLC

Primary specialty

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

Legal business name

RENAL SERVICES OF AMERICA FHPHC DIALYSIS. LLC

Practice address

548 S Marine Corps Dr
Tamuning, GU 96913-3539

Phone

(808) 585-4605

NPI assigned

Jul 15, 2021

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

Name

Barry Blanton

Title

VP

Phone

(781) 699-9000

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

• National Medical Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bristol, TN
  • NPI 1477570117

  Member Of

  NPD member

• FRESENIUS KIDNEY CARE FHP HEMODIALYISIS CENTER Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2021.

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1811569130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 S MARINE CORPS DR",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133539",
            "telephone_number": "808-585-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 S MARINE CORPS DR",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133539",
            "telephone_number": "808-585-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL SERVICES OF AMERICA FHPHC DIALYSIS. LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRESENIUS KIDNEY CARE FHP HEMODIALYISIS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allen Paule Rara, PT
• Reaching Out Ministries
• Eric Satoshi Redona, PT, DPT
• Shawn Jensen Reed, MD
• Remedy LLC
• Renal Services of America North Pacific, LLC
• Rest Assured Anesthesia Services, Inc.
• Yuri E Resuma, LPN
• Retina Center of Guam, LLC
• Casiana Lenae Ceraos Reyes

• All providers in Tamuning, GU
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.