Provider Demographics
NPI:1891252250
Name:REMOTE RENAL CARE LLC
Entity Type:Organization
Organization Name:REMOTE RENAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:833-543-6398
Mailing Address - Street 1:607 RONALD REAGAN DR UNIT 691
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-7728
Mailing Address - Country:US
Mailing Address - Phone:833-543-6398
Mailing Address - Fax:833-543-6398
Practice Address - Street 1:1253 ARCILLA PT
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-9297
Practice Address - Country:US
Practice Address - Phone:833-543-6398
Practice Address - Fax:833-543-6398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty