Holy Name Dialysis Center

LBN: Holy Name Home Dialysis Center, Inc.
Holy Name Dialysis Center is an health care organization with primary practice located at 222 Cedar Ln Suite 103, Teaneck NJ 07666-4314. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Holy Name Home Dialysis Center, Inc. can be contacted via phone (201) 692-1379, or through Rigolosi, Robert via phone (201) 833-3223.

Contact Information

Primary practice address
222 Cedar Ln Suite 103 Teaneck NJ 07666-4314
Phone: (201) 692-1379
Fax: (201) 692-7776
Website:
Map and Directions
Authorized official contact:
Name: Rigolosi, Robert
Phone: (201) 833-3223

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1972624070
LBN Legal business name Holy Name Home Dialysis Center, Inc.
DBA Doing business as Holy Name Dialysis Center
Authorized official Rigolosi, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972624070 NPPES
New Jersey MEDICAID 6542409

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