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AMERICAN UNIVERSAL LLC NPI 1003249137


NPI Information

NPI: 1003249137
Provider Name: AMERICAN UNIVERSAL LLC

Doing Business As: AMERICAN KIDNEY CARE

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 08D2069849

Address:
1415 PULASKI HWY
SUITE B
NEWARK, DE
ZIP 19702
Phone: (302) 836-9790
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AMERICAN UNIVERSAL LLC is an end-stage renal disease (esrd) treatment clinic center in Newark, DE. AMERICAN UNIVERSAL LLC NPI is 1003249137. The provider is registered as an organization entity type.
The provider Is Doing Business As American Kidney Care.

The provider's business location address is:

1415 PULASKI HWY
SUITE B
NEWARK, DE
ZIP 19702-104
Phone: (302) 836-9790
Fax: (302) 836-9792

The provider's authorized official is Sara Anne Brady .
The authorized official title is Chief Nursing Officer and has the following contact phone number (208) 371-7878.

The CLIA number assigned to this NPI record is 08D2069849 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2013 and was last updated on 1/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11003249137MEDICAIDDELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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