CARE DIALYSIS CENTER – NPI #1649855297
Clinic/Center

CARE DIALYSIS CENTER is an AHC clinic located in GLENDALE, CA. NPPES has assigned the NPI number 1649855297 to CARE DIALYSIS CENTER on March 16, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CARE DIALYSIS CENTER” is a dba name, the actual legal business name for this organization is AVY, 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 5 years ago on Apr 17, 2021. 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 CARE DIALYSIS CENTER below.

NPI Profile for
AVY, LLC

NPI Number
1649855297
Enumeration Date

(more than 5 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
AVY, LLC
Doing Business As (dba): CARE DIALYSIS CENTER
Primary location
1510 S CENTRAL AVE STE 140
GLENDALE, CA 91204-3857
Phone: (310) 467-5197 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANDREY TARASOV
MEMBER/MANAGER
Phone: (310) 467-5197
Updated
Certification Date
Apr 17, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.