Grand Home Dialysis Llc in Surprise - End-stage Renal Disease (esrd) Treatment
Grand Home Dialysis Llc - NPI 1780863878
Grand Home Dialysis Llc is a End-stage Renal Disease (esrd) Treatment in Surprise, Arizona. Grand Home Dialysis Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Grand Home Dialysis Llc is 1780863878. The last update date is 2022-01-14.
Grand Home Dialysis Llc's current location address is 14671 W Mountain View Blvd, Surprise, Arizona. You can contact this provider via phone number 6235466120 and fax number 6235462693. The mailing address for Grand Home Dialysis Llc is 14671 W Mountain View Blvd, Surprise, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand Home Dialysis Llc |
|---|---|
| Address | 14671 W Mountain View Blvd, Surprise, Arizona |
| Phone Number | 6235466120 |
| Fax Number | 6235462693 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ACCO |
|---|---|
| Authorized Official Name | Winstel D John |
| Telephone Number | 2537334501 |
NPI Number Detail
| NPI Number | 1780863878 |
|---|---|
| Provider Enumeration Date | 2007-10-25 |
| Last Updated Date | 2022-01-14 |
Provider Mailing Address Detail
| Address | 14671 W Mountain View Blvd |
|---|---|
| City | Surprise |
| State | Arizona (AZ) |
| Post Code | 853744840 |
| Phone Number | 6235466120 |
| Fax Number | 6235462693 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 633472 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Grand Home Dialysis Llc by the Centers for Medicare & Medicaid Services?
The Grand Home Dialysis Llc has been issued the NPI (National Provider Identifier) 1780863878 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Grand Home Dialysis Llc?
The Grand Home Dialysis Llc is situated at 14671 W Mountain View Blvd, in the city of Surprise, state of AZ, with the zip code 853744840.
What is Grand Home Dialysis Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Grand Home Dialysis Llc's area of specialization is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this field of practice is 261Qe0700X.
When did Grand Home Dialysis Llc receive its 1780863878 assignment?
The Grand Home Dialysis Llc was assigned its 1780863878 on 2007-10-25, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Grand Home Dialysis Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Grand Home Dialysis Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-01-14.