JABINE DIALYSIS LLC NPI 1740785518

NPI Information

NPI: 1740785518
Provider Name: JABINE DIALYSIS, LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: CORONACA HOME DIALYSIS
CLIA Number: 42D2147166
Address: 3337 HIGHWAY 72-221 E
GREENWOOD, SC
ZIP 29649
Phone: (864) 229-0101

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NPI Details

JABINE DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Greenwood, SC. JABINE DIALYSIS, LLC NPI is 1740785518. The provider is registered as an organization entity type.
The provider Is Doing Business As Coronaca Home Dialysis.

The provider's business location address is:

3337 HIGHWAY 72-221 E
GREENWOOD, SC
ZIP 29649-772
Phone: (864) 229-0101
Fax: (864) 229-0120

The provider's authorized official is Samuel T. Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 42D2147166 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2018 and was last updated on 8/12/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment		SOUTH CAROLINA	Yes

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: 11/21/2025

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