Johnson Dialysis Center Llc

LBN: Johnson Dialysis Center Llc
Johnson Dialysis Center Llc is an health care organization with primary practice located at 7769 Johnson St , Pembroke Pines FL 33024-6856. 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. Johnson Dialysis Center Llc can be contacted via phone (954) 962-9640, or through Carrasco, Keith via phone (954) 962-9640.

Contact Information

Primary practice address
7769 Johnson St Pembroke Pines FL 33024-6856
Phone: (954) 962-9640
Fax: (954) 962-9641
Website:
Map and Directions
Authorized official contact:
Name: Carrasco, Keith
Phone: (954) 962-9640

Health care specialties

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

Profile Details

NPI number 1104019447
LBN Legal business name Johnson Dialysis Center Llc
DBA Doing business as
Authorized official Carrasco, Keith
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2007
Last updated Aug 11th, 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 1104019447 NPPES
Florida MEDICAID 000791100

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