Provider Demographics
NPI:1518469485
Name:USRC FOREST HILLS, LLC
Entity Type:Organization
Organization Name:USRC FOREST HILLS, LLC
Other - Org Name:U.S. RENAL CARE FOREST HILLS DIALYSIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-736-2730
Mailing Address - Street 1:PO BOX 638931
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-8931
Mailing Address - Country:US
Mailing Address - Phone:347-286-4013
Mailing Address - Fax:347-286-4014
Practice Address - Street 1:68-54 AUSTIN ST
Practice Address - Street 2:STE 500
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4275
Practice Address - Country:US
Practice Address - Phone:347-286-4013
Practice Address - Fax:347-286-4014
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:U.S. RENAL CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-06
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment