South Broward Artificial Kidney Center

LBN: Total Renal Care Inc
South Broward Artificial Kidney Center is an health care organization with primary practice located at 4401 Hollywood Blvd , Hollywood FL 33021-6609. 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. Total Renal Care Inc can be contacted via phone (954) 962-2211, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
4401 Hollywood Blvd Hollywood FL 33021-6609
Phone: (954) 962-2211
Fax: (954) 964-3546
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1720056062
LBN Legal business name Total Renal Care Inc
DBA Doing business as South Broward Artificial Kidney Center
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2006
Last updated Jan 23rd, 2024 - about 10 months 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 1720056062 NPPES
Massachusetts MEDICAID 1312464
Massachusetts MEDICAID 212284703

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