CENTRAL BROADWAY DIALYSIS – NPI #1730273228
Clinic/Center

CENTRAL BROADWAY DIALYSIS is an AHC clinic located in LOUISVILLE, KY. NPPES has assigned the NPI number 1730273228 to CENTRAL BROADWAY DIALYSIS on October 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRAL BROADWAY DIALYSIS” is a dba name, the actual legal business name for this organization is RENAL LIFE LINK, INC.. 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 CENTRAL BROADWAY DIALYSIS below.

NPI Profile for
RENAL LIFE LINK, INC.

NPI Number
1730273228
Enumeration Date

(more than 19 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
RENAL LIFE LINK, INC.
Doing Business As (dba): CENTRAL BROADWAY DIALYSIS
Primary location
716 W BROADWAY
LOUISVILLE, KY 40202
Phone: (615) 320-4218 Fax:
Mailing address
5200 VIRGINIA WAY
STE 400 L&C
BRENTWOOD, TN 37027
Phone: (615) 320-4218 Fax: (303) 209-7825
Organization Subpart
No
Authorized Official
THOMAS USILTON
SR VICE PRESIDENT
Phone: (770) 541-7922
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.