Isd Kendallville Llc in Brentwood - End-stage Renal Disease (esrd) Treatment
Isd Kendallville Llc - NPI 1205017811
Isd Kendallville Llc is a End-stage Renal Disease (esrd) Treatment in Brentwood, Tennessee. Isd Kendallville Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Isd Kendallville Llc is 1205017811. The last update date is 2023-08-18.
Isd Kendallville Llc's current location address is 5200 Virginia Way, Brentwood, Tennessee. You can contact this provider via phone number 6153204514 and fax number 8665949961. The mailing address for Isd Kendallville Llc is 5200 Virginia Way, Brentwood, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Isd Kendallville Llc |
|---|---|
| Address | 5200 Virginia Way, Brentwood, Tennessee |
| Phone Number | 6153204514 |
| Fax Number | 8665949961 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR DIRECTO |
|---|---|
| Authorized Official Name | Wey T Samuel |
| Telephone Number | 6153416641 |
NPI Number Detail
| NPI Number | 1205017811 |
|---|---|
| Provider Enumeration Date | 2007-11-26 |
| Last Updated Date | 2023-08-18 |
Provider Mailing Address Detail
| Address | 5200 Virginia Way |
|---|---|
| City | Brentwood |
| State | Tennessee (TN) |
| Post Code | 370277569 |
| Phone Number | 6153204514 |
| Fax Number | 8665949961 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200899260A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Isd Kendallville Llc by the Centers for Medicare & Medicaid Services?
The Isd Kendallville Llc has been assigned the NPI (National Provider Identifier) 1205017811 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Isd Kendallville Llc is physically located?
The Isd Kendallville Llc is physically situated at the following address: 5200 Virginia Way, Brentwood, TN, 370277569.
What is the Isd Kendallville Llc's area of specialization and corresponding taxonomy classification?
The Isd Kendallville Llc's specialty field is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1205017811 to Isd Kendallville Llc?
The Centers for Medicare & Medicaid Services assigned the 1205017811 to Isd Kendallville Llc on 2007-11-26.
When was the information regarding Isd Kendallville Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Isd Kendallville Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-08-18.