Organization Active NPI

Reliant Renal Care - Ephrata,LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ephrata, PA
National Provider Identifier
1982146767
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
RELIANT RENAL CARE - EPHRATA,LLC
Practice address
804 Grandview Dr
Suite 2
Ephrata, PA 17522-1681
Phone
(610) 744-2040
NPI assigned
Nov 10, 2016
Organization subpart
Yes
Parent organization
RELIANT RENAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Marianne Kilroy Kilroy
Title
Director of Reimbursement
Phone
(610) 744-2040

Specialties & licenses 1

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

Addresses

Primary practice location

804 Grandview Dr
Suite 2
Ephrata, PA 17522-1681

Mailing address

1400 N Providence Rd
BLD 2 Suite 1040
Media, PA 19063-2043

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1982146767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N PROVIDENCE RD",
            "address_2": "BLD 2 SUITE 1040",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 GRANDVIEW DR",
            "address_2": "SUITE 2",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221681",
            "telephone_number": "610-744-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT RENAL CARE - EPHRATA,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIANT RENAL CARE",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "KILROY",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "KILROY",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "610-744-2040"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

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