US RENAL CARE ADEL DIALYSIS – NPI #1336102938
Clinic/Center

US RENAL CARE ADEL DIALYSIS is an AHC clinic located in ADEL, GA. NPPES has assigned the NPI number 1336102938 to US RENAL CARE ADEL DIALYSIS on April 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “US RENAL CARE ADEL DIALYSIS” is a dba name, the actual legal business name for this organization is DCA OF ADEL 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 8 years ago on Jun 21, 2018. 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 US RENAL CARE ADEL DIALYSIS below.

NPI Profile for
DCA OF ADEL LLC

NPI Number
1336102938
Enumeration Date

(more than 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
DCA OF ADEL LLC
Doing Business As (dba): US RENAL CARE ADEL DIALYSIS
Primary location
701 NORTH HUTCHINSON AVENUE
ADEL, GA 31620
Phone: (229) 896-4529 Fax: (229) 896-4216
Mailing address
PO BOX 19119
JONESBORO, AR 72403-6601
Phone: (870) 931-5400 Fax: (870) 931-5418
Organization Subpart
Yes - US RENAL CARE ADEL DIALYSIS is subpart of another organization.
Authorized Official
THOMAS WEINBERG
VICE PRESIDENT & SECRETARY
Phone: (214) 736-2700
Updated
Identifiers

Identifiers for US RENAL CARE ADEL DIALYSIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA000895309G
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.