Honey Dialysis LLC

Primary specialty

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

License

ESRD000763 Issued in GA

Legal business name

HONEY DIALYSIS LLC

Practice address

2135 Main St E
Ste 130
Snellville, GA 30078-6424

Phone

(770) 979-3117

Fax

(770) 979-3640

NPI assigned

Jul 9, 2008

Organization subpart

No

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

Authorized official

Name

James K Hilger

Title

Chief Accounting Officer

Phone

(253) 733-4500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Snellville Dialysis Doing business as

Tax ID family

Honey Dialysis LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Honey Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Snellville, GA
  • NPI 1760615116
  NPD tax ID

Member of 1

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

• Renal Treatment Centers Mid Atlantic Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Goldsboro, NC
  • NPI 1174086698

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven M Gorbatkin, M.D.

  • Specialist
  • Lawrenceville, GA
  • NPI 1790741114
  NPD (past)

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1861655870",
    "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": "615-320-4286",
            "fax_number": "866-594-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 MAIN ST E",
            "address_2": "STE 130",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786424",
            "telephone_number": "770-979-3117",
            "fax_number": "770-979-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONEY DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4500"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "GA",
            "license": "ESRD000763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000973134M",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "11D1091193",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snellville Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natasha Holloman, RBT
• Charla Holmes, FNP, PNP
• Jeffrey Scott Holmes II, MD
• Home and Bath Safety, LLC
• Honey Dialysis LLC
• Ellen L Hood
• Hope Bridge Counseling LLC
• Hope Health and Healing Center LLC
• Hope Private in Home Care LLC
• Hopebridge LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Snellville, GA
• Providers in Snellville, GA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.