Johnson Dialysis Center Llc in Pembroke Pines - End-stage Renal Disease (esrd) Treatment
Johnson Dialysis Center Llc - NPI 1104019447
Johnson Dialysis Center Llc is a End-stage Renal Disease (esrd) Treatment in Pembroke Pines, Florida. Johnson Dialysis Center Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Johnson Dialysis Center Llc is 1104019447. The last update date is 2020-08-11.
Johnson Dialysis Center Llc's current location address is 7769 Johnson St, Pembroke Pines, Florida. You can contact this provider via phone number 9549629640 and fax number 9549629641. The mailing address for Johnson Dialysis Center Llc is 7769 Johnson St, Pembroke Pines, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Johnson Dialysis Center Llc |
|---|---|
| Address | 7769 Johnson St, Pembroke Pines, Florida |
| Phone Number | 9549629640 |
| Fax Number | 9549629641 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Carrasco Keith |
| Telephone Number | 9549629640 |
NPI Number Detail
| NPI Number | 1104019447 |
|---|---|
| Provider Enumeration Date | 2007-08-21 |
| Last Updated Date | 2020-08-11 |
Provider Mailing Address Detail
| Address | 7769 Johnson St |
|---|---|
| City | Pembroke Pines |
| State | Florida (FL) |
| Post Code | 330246856 |
| Phone Number | 9549629640 |
| Fax Number | 9549629641 |
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 |
|---|---|---|---|
| 791100 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Johnson Dialysis Center Llc by the Centers for Medicare & Medicaid Services?
The Johnson Dialysis Center Llc has been issued the NPI (National Provider Identifier) 1104019447, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Johnson Dialysis Center Llc's facilities are geographically located?
The facilities of Johnson Dialysis Center Llc are physically situated at the following location: 7769 Johnson St, Pembroke Pines, FL, 330246856.
What is Johnson Dialysis Center Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Johnson Dialysis Center Llc is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that categorizes this field of expertise is 261Qe0700X.
On what date was the 1104019447 assigned to Johnson Dialysis Center Llc?
The Johnson Dialysis Center Llc was issued its 1104019447 on 2007-08-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Johnson Dialysis Center Llc most recently updated or revised?
The details related to Johnson Dialysis Center Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-11.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY