Provider Demographics
NPI:1952035438
Name:REACH KIDNEY CARE LLC
Entity Type:Organization
Organization Name:REACH KIDNEY CARE LLC
Other - Org Name:NY CENTRAL & WESTERN REACH CKD CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONOVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-327-3061
Mailing Address - Street 1:1633 CHURCH ST STE 500
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2948
Mailing Address - Country:US
Mailing Address - Phone:615-342-0498
Mailing Address - Fax:615-963-9730
Practice Address - Street 1:1633 CHURCH ST STE 500
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2948
Practice Address - Country:US
Practice Address - Phone:833-477-4397
Practice Address - Fax:833-453-0101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-12
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management