Kidney Life, Llc in East Orange - End-stage Renal Disease (esrd) Treatment
Kidney Life, Llc - NPI 1548299373
Kidney Life, Llc is a End-stage Renal Disease (esrd) Treatment in East Orange, New Jersey. Kidney Life, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Kidney Life, Llc is 1548299373. The last update date is 2023-02-28.
Kidney Life, Llc's current location address is 14-20 Prospect St, East Orange, New Jersey. You can contact this provider via phone number 9736722025 and fax number 9736751381. The mailing address for Kidney Life, Llc is 14-20 Prospect St, East Orange, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kidney Life, Llc |
|---|---|
| Address | 14-20 Prospect St, East Orange, New Jersey |
| Phone Number | 9736722025 |
| Fax Number | 9736751381 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ACCO |
|---|---|
| Authorized Official Name | Winstel John |
| Telephone Number | 2537334501 |
NPI Number Detail
| NPI Number | 1548299373 |
|---|---|
| Provider Enumeration Date | 2006-07-02 |
| Last Updated Date | 2023-02-28 |
Provider Mailing Address Detail
| Address | 14-20 Prospect St |
|---|---|
| City | East Orange |
| State | New Jersey (NJ) |
| Post Code | 701722380 |
| Phone Number | 9736722025 |
| Fax Number | 9736751381 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 22214 |
|
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 |
|---|---|---|---|
| 8562105 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kidney Life, Llc by the Centers for Medicare & Medicaid Services?
The Kidney Life, Llc has been issued the NPI (National Provider Identifier) 1548299373 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Kidney Life, Llc's physical address?
The Kidney Life, Llc is physically located at 14-20 Prospect St, in the city of East Orange, NJ, with the postal code 701722380.
What is the Kidney Life, Llc's specialty and taxonomy code?
The Kidney Life, Llc's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
On what date did the Kidney Life, Llc receive the assignment of its 1548299373 from the Centers for Medicare & Medicaid Services?
The Kidney Life, Llc was issued its 1548299373 by the Centers for Medicare & Medicaid Services on 2006-07-02.
When was the information regarding Kidney Life, Llc most recently updated?
The details pertaining to the Kidney Life, Llc, including its address, specialty, and other relevant information, were last refreshed on 2023-02-28.
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