Reliant Renal Care Kenner Home Choice, LLC

Primary specialty

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

Legal business name

RELIANT RENAL CARE KENNER HOME CHOICE, LLC

Doing business as

Reliant Renal Care Kenner

Practice address

3409 Williams Blvd
Kenner, LA 70065-3700

Phone

(610) 892-4700

Fax

(610) 892-9760

NPI assigned

May 2, 2013

Organization subpart

Yes

Parent organization

RELIANT RENAL CARE, INCAs reported in NPPES

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

Authorized official

Name

Barbara Bednar

Title

Ceo

Phone

(610) 892-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Reliant Renal Care Kenner Doing business as

Locations

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1831534965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N PROVIDENCE RD",
            "address_2": "BUILDING 2 SUITE 1040",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632043",
            "telephone_number": "610-892-4700",
            "fax_number": "610-892-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653700",
            "telephone_number": "610-892-4700",
            "fax_number": "610-892-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT RENAL CARE KENNER HOME CHOICE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIANT RENAL CARE, INC",
        "enumeration_date": "2013-05-02",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "BEDNAR",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-892-4700"
    },
    "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": "2398121",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliant Renal Care Kenner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Cortez Redler, RN
• Patricia Alexis Reed, PHYSICIAN ASSISTANT
• Rene Reed, LMT, MLD-C, CPT
• Regine Dyer DDS,LLC & Matthew Henson DDS, LLC
• Lee Ann Reilly
• Renfro & Associates, LLC
• Darrell L Renfro, M.ED, LPC
• Leslie Ann Reulet, NP
• Revcode Management LLC
• Caroline Rhoades

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kenner, LA
• Providers in Kenner, LA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.