Greater Daytona Home Training Dialysis

LBN: Dva Healthcare Renal Care Inc
Greater Daytona Home Training Dialysis is an health care organization with primary practice located at 575 N Clyde Morris Blvd Ste A, Daytona Beach FL 32114-2323. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Dva Healthcare Renal Care Inc can be contacted via phone (386) 258-7719, or through Hilger, James K via phone (253) 382-1919.

Contact Information

Primary practice address
575 N Clyde Morris Blvd Ste A Daytona Beach FL 32114-2323
Phone: (386) 258-7719
Fax: (386) 258-7524
Website:
Map and Directions
Authorized official contact:
Name: Hilger, James K
Phone: (253) 382-1919

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1265409213
LBN Legal business name Dva Healthcare Renal Care Inc
DBA Doing business as Greater Daytona Home Training Dialysis
Authorized official Hilger, James K
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 20th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265409213 NPPES
Florida MEDICAID 200518221

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