Pure Life Renal of Overland Park, LLC
Pure Life Renal of Overland Park, LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Overland Park, Kansas. Medicare rates this dialysis facility 2 out of 5. Registered with an NPI since 2020.
- CMS rating
- 2 of 5
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
CMS quality rating
Practice location Address checks out
11661 College Blvd Ste 106Overland Park, KS 66210-4107
Phone: (954) 962-5733
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) | Taxonomy 261QE0700X |
|---|
Record details
| NPI number | 1083248181 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeff Fernandez — Cfo · (954) 962-5733 |
| NPI enumerated | February 27, 2020 |
| Last updated in NPPES | February 27, 2020 |
| Certification date | February 27, 2020 |
| Mailing address | 4000 Hollywood Blvd Ste 300n, Hollywood, FL 33021-1242 |
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