Provider Demographics
NPI:1427603265
Name:RCO OF COLUMBUS, LLC
Entity Type:Organization
Organization Name:RCO OF COLUMBUS, LLC
Other - Org Name:NEW RENALITY COLUMBUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:H
Authorized Official - Last Name:LEPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-969-7391
Mailing Address - Street 1:512 AUTUMN SPRINGS CT STE B
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2847
Mailing Address - Country:US
Mailing Address - Phone:615-905-6160
Mailing Address - Fax:615-905-1601
Practice Address - Street 1:2724 WARM SPRINGS RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-5245
Practice Address - Country:US
Practice Address - Phone:706-940-2032
Practice Address - Fax:706-940-2054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment