PURE LIFE RENAL OF STOUGHTON LLC – NPI #1831550201
Clinic/Center

PURE LIFE RENAL OF STOUGHTON LLC is an AHC clinic located in STOUGHTON, MA. NPPES has assigned the NPI number 1831550201 to PURE LIFE RENAL OF STOUGHTON LLC on March 14, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 last updated on Apr 06, 2026. 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 PURE LIFE RENAL OF STOUGHTON LLC below.

NPI Profile for
PURE LIFE RENAL OF STOUGHTON LLC

NPI Number
1831550201
Enumeration Date

(more than 10 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
PURE LIFE RENAL OF STOUGHTON LLC
Primary location
907 SUMNER ST
MEDICAL OFFICE BUILDING M107
STOUGHTON, MA 02072
Phone: (781) 341-8550 Fax:
Mailing address
4000 HOLLYWOOD BLVD STE 300N
HOLLYWOOD, FL 33021-1242
Phone: (954) 962-5733 Fax:
Organization Subpart
No
Authorized Official
JEFF FERNANDEZ
CHIEF FINANCIAL OFFICER
Phone: (954) 962-5733
Updated
Certification Date
Apr 06, 2026

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.