OrganizationActive
Johnson Dialysis Center LLC
NPI 1104019447 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Pembroke Pines, FL
Provider details
- NPI number
- 1104019447
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Keith Carrasco, Administrator(954) 962-9640
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7769 Johnson St
Pembroke Pines, FL 33024-6856
Phone: (954) 962-9640
Fax: (954) 962-9641
Street-level locationGet directions
Mailing address
7769 Johnson St
Pembroke Pines, FL 33024-6856
Registry dates
- Enumerated
- 2007-08-21
- Last updated
- 2020-08-11
- Certified
- 2020-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.