Innovative Home Dialysis Of Georgia, Llc

LBN: Innovative Home Dialysis Of Georgia, Llc
Innovative Home Dialysis Of Georgia, Llc is an health care organization with primary practice located at 3753 Marietta Hwy Suite 100, Canton GA 30114-8328. 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 Home Dialysis Of Georgia, Llc can be contacted via phone (770) 345-4103, or through Weinberg, Thomas L. via phone (214) 736-2700.

Contact Information

Primary practice address
3753 Marietta Hwy Suite 100 Canton GA 30114-8328
Phone: (770) 345-4103
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Weinberg, Thomas L.
Phone: (214) 736-2700

Health care specialties

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

Profile Details

NPI number 1932522950
LBN Legal business name Innovative Home Dialysis Of Georgia, Llc
DBA Doing business as
Authorized official Weinberg, Thomas L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 27th, 2014
Last updated Jan 25th, 2017 - about 8 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 1932522950 NPPES
Georgia MEDICAID 003154586A

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