TRISTATE RENAL CARE LLC
NPI 1790382513
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Florence, KY

NPI Status: Active since October 05, 2020

Contact Information

6909 BURLINGTON PIKE STE B
FLORENCE, KY
ZIP 41042
Phone: (859) 912-7716
Fax: (859) 757-4923

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 18D2063202
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-24-2026

About TRISTATE RENAL CARE LLC

This page provides the complete NPI Profile along with additional information for Tristate Renal Care Llc, a provider established in Florence, Kentucky operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1790382513 assigned on October 2020. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Myle Thi Tran (Practice Manager)

NPI
1790382513
Provider Name
TRISTATE RENAL CARE LLC
Entity Type
Organization
Location Address
6909 BURLINGTON PIKE STE B FLORENCE, KY 41042
Location Phone
(859) 912-7716
Location Fax
(859) 757-4923
Mailing Address
6909 BURLINGTON PIKE STE B FLORENCE, KY 41042
Mailing Phone
(859) 912-7716
Mailing Fax
(859) 757-4923
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2020
Last Update Date
10-05-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MYLE THI TRAN

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(859) 912-7716

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2063202
Facility Type
Physician Office
Certificate Effective Date
October 25, 2024
Certificate Expiration Date
October 24, 2026
Laboratory Director
DR. SAIF JAWEED
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tristate Renal Care Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790382513, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 3 → 6 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 6 + 8 + 4 + 5 + 2 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1790382513.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Internal Medicine (Nephrology)
6909 BURLINGTON PIKE STE B
FLORENCE, KY 41042
Internal Medicine (Nephrology)
6909 BURLINGTON PIKE STE B
FLORENCE, KY 41042
Internal Medicine (Nephrology)
6909 BURLINGTON PIKE STE B
FLORENCE, KY 41042
Nurse Practitioner (Adult Health)
6909 BURLINGTON PIKE STE B
FLORENCE, KY 41042

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790382513, enumerated as an "organization" on October 05, 2020.

The provider is located at 6909 BURLINGTON PIKE STE B FLORENCE, KY 41042 and the phone number is (859) 912-7716.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.