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HONEY DIALYSIS LLC NPI 1861655870


NPI Information

NPI: 1861655870
Provider Name: HONEY DIALYSIS LLC

Doing Business As: SNELLVILLE DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 11D1091193

Address:
2135 MAIN ST E
STE 130
SNELLVILLE, GA
ZIP 30078
Phone: (770) 979-3117
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HONEY DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Snellville, GA. HONEY DIALYSIS LLC NPI is 1861655870. The provider is registered as an organization entity type.
The provider Is Doing Business As Snellville Dialysis.

The provider's business location address is:

2135 MAIN ST E
STE 130
SNELLVILLE, GA
ZIP 30078-424
Phone: (770) 979-3117
Fax: (770) 979-3640

The provider's authorized official is James K Hilger .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4500.

The CLIA number assigned to this NPI record is 11D1091193 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2008 and was last updated on 10/17/2016.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentESRD000763GEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111D1091193OTHERGEORGIACLIA WAIVER
2000973134MMEDICAIDGEORGIA
3112806MEDICARE OSCAR/CERTIFICATION
4ESRD000763MEDICARE OSCAR/CERTIFICATIONGEORGIA

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: 5/5/2024

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