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GRAND DIALYSIS SERVICES LLC
NPI 1659745149
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Pembroke Pines, FL

Active since November 20, 2015
500 N. HIATUS ROAD, SUITE 105, PEMBROKE PINES, FL 33026(954) 962-9640 Get Directions Write a Review

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

Record update history: Aug 11, 2020, Nov 20, 2015 (2 updates tracked since 2015).

About Grand Dialysis Services Llc NPPES

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

GRAND DIALYSIS SERVICES LLC (NPI 1659745149) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Pembroke Pines, Florida and active in the NPI registry since November 2015. The organization lists Keith Carrasco, Administrator, as its authorized official.

NPPES Registry Identity

NPI1659745149
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameGRAND DIALYSIS SERVICES LLC
Location Address500 N. HIATUS ROAD, SUITE 105Pembroke Pines, FL 33026
Mailing Address7765 Johnson StPembroke Pines, FL 33024-6856 · (954) 962-9640
Phone(954) 962-9640
Organization SubpartNo
Authorized OfficialKeith CarrascoAdministrator · (954) 962-9640
Enumeration DateNovember 20, 2015
Last NPPES UpdateAugust 11, 20202 updates tracked since enumeration
NPPES CertifiedAugust 11, 2020
✔ NPI 1659745149 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
License✔ Licensed in FL · L15000170783
500 N. HIATUS ROAD, Pembroke Pines, FL 33026
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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 Grand Dialysis Services LLC's NPI number?

The NPI number for Grand Dialysis Services LLC is 1659745149. It was assigned to this organization in the NPPES registry on November 20, 2015.

Where is Grand Dialysis Services LLC located?

Grand Dialysis Services LLC is located at 500 N. Hiatus Road Suite 105, Pembroke Pines, FL 33026. The listed phone number is (954) 962-9640.

What is Grand Dialysis Services 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.

When was this NPI record last updated?

The NPPES record for Grand Dialysis Services 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.