LEGACY DIALYSIS OF RESTON LLC – End-Stage Renal Disease (ESRD) Treatment Clinic/Center, NPI 1720759814

LEGACY DIALYSIS OF RESTON LLC is a healthcare provider. based in Pompano beach, Florida. specializing in End-Stage Renal Disease (ESRD) Treatment Clinic/Center. The NPI Number for LEGACY DIALYSIS OF RESTON LLC is 1720759814

Main info

Organization
Name
LEGACY DIALYSIS OF RESTON LLC
NPI
1720759814
Phone
(954) 781-7741
Address
100 E SAMPLE RD STE 220
Authorized Official
NICOLE JOYNER ADMIN
Enumeration Date
28 September 2021
Deactivation Date
4 March 2023
Reactivation Date
26 May 2023
Last Update Date
26 May 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for LEGACY DIALYSIS OF RESTON LLC

  • 100 E SAMPLE RD STE 220

    POMPANO BEACH, FL 330643554

    Phone: (954) 781-7741

    Fax: (888) 349-8679

    Type: Mailing

  • 1897 PRESTON WHITE DR STE 105

    RESTON, VA 201915475

    Phone: (954) 781-7741

    Fax: (888) 349-8679

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33064)

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Reviews

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Frequently asked questions

Does LEGACY DIALYSIS OF RESTON LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LEGACY DIALYSIS OF RESTON LLC uses 1720759814.
Can I rely on LEGACY DIALYSIS OF RESTON LLC being an active provider?
As of the registry snapshot, LEGACY DIALYSIS OF RESTON LLC is marked active.
What is LEGACY DIALYSIS OF RESTON LLC best known for clinically?
Directory data describes LEGACY DIALYSIS OF RESTON LLC with End-Stage Renal Disease (ESRD) Treatment Clinic/Center. Clinical services aligned with this taxonomy classification.
Where should I expect LEGACY DIALYSIS OF RESTON LLC on a map?
Expect Pompano Beach, Florida as a primary anchor for LEGACY DIALYSIS OF RESTON LLC unless the record lists multiple sites.
Is the information about LEGACY DIALYSIS OF RESTON LLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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