Escondido Home Training Dialysis

LBN: Dva Renal Healthcare Inc
Escondido Home Training Dialysis is an health care organization with primary practice located at 635 E Grand Ave , Escondido CA 92025-4402. 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 Renal Healthcare Inc can be contacted via phone (760) 747-7415, or through Usilton, Thomas O via phone (770) 541-7922.

Contact Information

Primary practice address
635 E Grand Ave Escondido CA 92025-4402
Phone: (760) 747-7415
Fax: (760) 747-7231
Website:
Map and Directions
Authorized official contact:
Name: Usilton, Thomas O
Phone: (770) 541-7922

Health care specialties

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

Profile Details

NPI number 1649244849
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Escondido Home Training Dialysis
Authorized official Usilton, Thomas O
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2006
Last updated Aug 13th, 2007 - about 17 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 1649244849 NPPES
California MEDICAID CDC52351F

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