CONVALESCENT RENAL CARE OF SOUTH FLORIDA – NPI #1114959186
Clinic/Center

CONVALESCENT RENAL CARE OF SOUTH FLORIDA is an AHC clinic located in BOCA RATON, FL. NPPES has assigned the NPI number 1114959186 to CONVALESCENT RENAL CARE OF SOUTH FLORIDA on July 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CONVALESCENT RENAL CARE OF SOUTH FLORIDA” is a dba name, the actual legal business name for this organization is ARA-SOUTH BOCA RATON DIALYSIS LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CONVALESCENT RENAL CARE OF SOUTH FLORIDA below.

NPI Profile for
ARA-SOUTH BOCA RATON DIALYSIS LLC

NPI Number
1114959186
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ARA-SOUTH BOCA RATON DIALYSIS LLC
Doing Business As (dba): CONVALESCENT RENAL CARE OF SOUTH FLORIDA
Primary location
7300 DEL PRADO CIR S
BOCA RATON, FL 33433-3386
Phone: (561) 416-2039 Fax: (561) 416-5756
Mailing address
66 CHERRY HILL DR
SUITE 200
BEVERLY, MA 01915-1054
Phone: (978) 922-3080 Fax: (978) 922-3085
Organization Subpart
No
Authorized Official
CHRISTOPHER FORD
PRESIDENT/CEO
Phone: (978) 922-3080
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.