Fresenius Kidney Care La Grange Home
LBN: Innovative Dialysis Centers Of La Grange, Llc
Fresenius Kidney Care La Grange Home is an health care organization with primary practice located at 1300 Lafayette Pkwy Suite D, Lagrange GA 30241-2612. 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.
Innovative Dialysis Centers Of La Grange, Llc can be contacted via phone (706) 884-3765, or through Blanton, Barry L. via phone (781) 699-9000.
Contact Information
Primary practice address
1300 Lafayette Pkwy Suite D
Lagrange GA 30241-2612
Phone: (706) 884-3765
Fax: (706) 884-5304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X |
Profile Details
| NPI number | 1730522343 |
|---|---|
| LBN Legal business name | Innovative Dialysis Centers Of La Grange, Llc |
| DBA Doing business as | Fresenius Kidney Care La Grange Home |
| Authorized official | Blanton, Barry L. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 12th, 2013 |
| Last updated | Oct 23rd, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730522343 | NPPES |
| Georgia | MEDICAID | 003146669A |
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