Organization Active NPI

Rai Care Centers of Gallatin I LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Gallatin, TN
National Provider Identifier
1861729386
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
RAI CARE CENTERS OF GALLATIN I LLC
Doing business as
U.S. Renal Care Gallatin Dialysis
Practice address
270 East Main Street
Gallatin, TN 37066-2961
Phone
(615) 452-0913
Fax
(615) 452-4101
NPI assigned
Nov 4, 2009
Organization subpart
Yes
Parent organization
U.S. RENAL CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Thomas L. Weinberg
Title
Authorized Official
Phone
(214) 736-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

270 East Main Street
Gallatin, TN 37066-2961

Mailing address

424 Church St
Suite 1900
Nashville, TN 37219-2301
Phone (615) 263-4518

Other identifiers 1

IdentifierTypeStateIssuer
0442698MedicaidTN

Other names 1

  • U.S. Renal Care Gallatin Dialysis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100329000803 TN Part A Provider - End-Stage Renal Disease Facility (ESRD) 0941336994 Practice locations: Gallatin, TN

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
USRC Gallatin DialysisCCN 442698
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Jun 23, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Chain
Diversified Specialty Institutes (DSI)
Dialysis stations
24

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2003424Rai Care Centers of Gallatin I, LLC270 East Main St Ste 100, Gallatin, TN 37066Certificate of waiverFeb 8, 2028

National Provider Directory

National Provider Directory
Part of
US Renal Care Inc

Member of 1

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

Locations

270 E Main St
Ste 100
Gallatin, TN 37066
Phone (615) 452-0913

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1861729386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 CHURCH ST",
            "address_2": "SUITE 1900",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192301",
            "telephone_number": "615-263-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 EAST MAIN STREET",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662961",
            "telephone_number": "615-452-0913",
            "fax_number": "615-452-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAI CARE CENTERS OF GALLATIN I LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2009-11-04",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "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": "0442698",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Gallatin Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.