Wellbound Of Evanston Llc in San Jose - End-stage Renal Disease (esrd) Treatment
Wellbound Of Evanston Llc - NPI 1528140712
Wellbound Of Evanston Llc is a End-stage Renal Disease (esrd) Treatment in San Jose, California. Wellbound Of Evanston Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Wellbound Of Evanston Llc is 1528140712. The last update date is 2016-12-29.
Wellbound Of Evanston Llc's current location address is 300 Santana Row, San Jose, California. You can contact this provider via phone number 8479651901 and fax number 6506256007. The mailing address for Wellbound Of Evanston Llc is 300 Santana Row, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wellbound Of Evanston Llc |
|---|---|
| Address | 300 Santana Row, San Jose, California |
| Phone Number | 8479651901 |
| Fax Number | 6506256007 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY/ |
|---|---|
| Authorized Official Name | Del Bene L Susan |
| Telephone Number | 6504043618 |
NPI Number Detail
| NPI Number | 1528140712 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2016-12-29 |
Provider Mailing Address Detail
| Address | 300 Santana Row |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951282423 |
| Phone Number | 8479651901 |
| Fax Number | 6506256007 |
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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What is the unique 10-digit identification code issued to Wellbound Of Evanston Llc by the Centers for Medicare & Medicaid Services?
The Wellbound Of Evanston Llc has been assigned the NPI (National Provider Identifier) 1528140712 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Wellbound Of Evanston Llc located?
The Wellbound Of Evanston Llc is located at 300 Santana Row, San Jose, CA 951282423.
What is the Wellbound Of Evanston Llc's area of specialization and corresponding taxonomy classification?
The Wellbound Of Evanston 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 Wellbound Of Evanston Llc receive its 1528140712 assignment from the Centers for Medicare & Medicaid Services?
The Wellbound Of Evanston Llc was assigned its 1528140712 on 2006-10-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Wellbound Of Evanston Llc's information last updated?
The Wellbound Of Evanston Llc's information was last updated on 2016-12-29.
NPI Number: 1336142389
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