Organization · Type 2 NPI

Nra-Hollywood, South Carolina, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Ravenel, SC

NPI number 1356384069 Active

Practice location

5953 Jacobs Point Blvd
Ravenel, SC 29470-5643

Fax (843) 571-4015

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	ERD-157 (SC)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1356384069
Entity type: Organization (Type 2)
Issued: Jun 13, 2006
Last updated: Aug 31, 2026
Status: Active
Subpart: Yes of Fresenius Medical Care Holdings, Inc.

Other names

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Hollywood - Ravenel Dialysis Clinic · doing business as

Authorized official

Denise Wright
Vice President
(781) 676-5200

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356384069

Nra-Hollywood, South Carolina, LLC's National Provider Identifier is 1356384069, issued on Jun 13, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Ravenel, SC. The record was last updated on Aug 31, 2026.