1. Home
  2. Directory
  3. Florida
  4. Pembroke Pines
  5. Clinic Center
  6. NPI Profile

JOHNSON DIALYSIS CENTER LLC
NPI 1104019447
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Pembroke Pines, FL

Active since August 21, 2007CLIA 10D1081209 · Waiver
2/5
Overall Rating
7769 JOHNSON ST, PEMBROKE PINES, FL 33024(954) 962-9640(954) 962-9641 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johnson Dialysis Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNSON DIALYSIS CENTER LLC (NPI 1104019447) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Pembroke Pines, Florida and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Keith Carrasco, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104019447
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameJOHNSON DIALYSIS CENTER LLC
Location Address7769 JOHNSON STPembroke Pines, FL 33024-6856
Mailing Address7769 Johnson StPembroke Pines, FL 33024-6856 · (954) 962-9640 · Fax (954) 962-9641
Phone(954) 962-9640
Fax(954) 962-9641
Organization SubpartNo
Authorized OfficialKeith CarrascoAdministrator · (954) 962-9640
Enumeration DateAugust 21, 2007
Last NPPES UpdateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
✔ NPI 1104019447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
7769 JOHNSON ST, Pembroke Pines, FL 33024
Open in Google Maps ↗

Other Identifiers 1

Medicaid000791100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1081209

Johnson Dialysis Center LLC · Pembroke Pines, FL
Active · expires Mar 11, 2028
CLIA Number10D1081209
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorManjit Dr Gulati
Laboratory Phone(954) 962-9640
Laboratory LocationJohnson Dialysis Center LLC7769 Johnson St, Pembroke Pines, FL 33024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Johnson Dialysis Center LLC (CMS certification number 102868), from CMS Care Compare.

Johnson Dialysis Center LLC

Dialysis facility · Pembroke Pines, FL
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
CMS Certification Number102868
ESRD NetworkNetwork 7
Hemodialysis Stations16
Medicare-Certified SinceOctober 1, 2008
Location7769 JOHNSON STPembroke Pines, FL 33024 · Broward County
Phone(954) 962-9640
Services Offered
In-center hemodialysis

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnson Dialysis Center LLC's NPI number?

The NPI number for Johnson Dialysis Center LLC is 1104019447. It was assigned to this organization in the NPPES registry on August 21, 2007.

Where is Johnson Dialysis Center LLC located?

Johnson Dialysis Center LLC is located at 7769 Johnson St, Pembroke Pines, FL 33024. The listed phone number is (954) 962-9640.

What is Johnson Dialysis Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Johnson Dialysis Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1081209) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Johnson Dialysis Center LLC a Medicare-certified dialysis facility?

Yes. Johnson Dialysis Center LLC is a Medicare-certified dialysis facility, certified since October 1, 2008.

What quality rating does Johnson Dialysis Center LLC have?

CMS rates Johnson Dialysis Center LLC 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Johnson Dialysis Center LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Molina Healthcare and Wellpoint list Johnson Dialysis Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Johnson Dialysis Center LLC was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.