ALL ACCESS MOBILE HEMODIALYSIS,LLC — NPI 1063763159 (Licensed & Credentialed Registered Nurse, Hemodialysis in DAYTONA BEACH, FL)

CMS-1500 Box 24J / 33a • NPI

1063763159

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

163WH0500X

Licensed & Credentialed Registered Nurse, Hemodialysis

Box 32 Service Location & ZIP+4

100 OPAL HILL CIR, DAYTONA BEACH, FL, 32124-2018

✓ 9-Digit EDI 837 ZIP+4 (32124-2018)

Practice Phone & Referral Fax

(800) 381-7639

Fax: (800) 381-7639

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1063763159 (ALL ACCESS MOBILE HEMODIALYSIS,LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1063763159` (NPI-2 Organization / Facility)
Provider / Legal Name	ALL ACCESS MOBILE HEMODIALYSIS,LLC
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Hemodialysis NUCC Code: `163WH0500X` (Registered Nurse, Hemodialysis)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	100 OPAL HILL CIR, DAYTONA BEACH, FL, 32124-2018
Practice Telephone / Fax	Tel: (800) 381-7639 \| Fax: (800) 381-7639
Administrative Mailing Address	PO BOX 11434, DAYTONA BEACH, FL, 32120-1434
Enumeration & Last Sync	Enumerated: 2012-09-28 \| CMS Record Updated: 2013-01-01
Authorized Official	ROBERTO BARRAGAN (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

100 OPAL HILL CIR, DAYTONA BEACH, FL, 32124-2018

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Plain-English Taxonomy & CMS Crosswalk (163WH0500X)

What Does Taxonomy Code 163WH0500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WH0500X translates to:
"Licensed & Credentialed Registered Nurse, Hemodialysis"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Hemodialysis for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALL ACCESS MOBILE HEMODIALYSIS,LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WC1600X` — Registered Nurse, Continuing Education/Staff Development Plain English: Licensed & Credentialed Registered Nurse, Continuing Education/Staff Development	State: N/A \| License: `Verified` \| Primary: Secondary
`163WR0400X` — Registered Nurse, Rehabilitation Plain English: Licensed & Credentialed Registered Nurse, Rehabilitation	State: N/A \| License: `Verified` \| Primary: Secondary
`2472R0900X` — Technician, Other, Renal Dialysis Plain English: Licensed & Credentialed Technician, Other, Renal Dialysis	State: N/A \| License: `Verified` \| Primary: Secondary
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: FL \| License: `RN1612642` \| Primary: Secondary
`163WA2000X` — Registered Nurse, Administrator Plain English: Licensed & Credentialed Registered Nurse, Administrator	State: FL \| License: `RN1612642` \| Primary: Secondary
`163WC1600X` — Registered Nurse, Continuing Education/Staff Development Plain English: Licensed & Credentialed Registered Nurse, Continuing Education/Staff Development	State: FL \| License: `RN1612642` \| Primary: Secondary
`163WH0200X` — Registered Nurse, Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: FL \| License: `RN1612642` \| Primary: Secondary
`163WH1000X` — Registered Nurse, Hospice Plain English: Licensed & Credentialed Registered Nurse, Hospice	State: FL \| License: `RN1612642` \| Primary: Secondary
`163WP0000X` — Registered Nurse, Pain Management Plain English: Licensed & Credentialed Registered Nurse, Pain Management	State: FL \| License: `RN1612642` \| Primary: Secondary
`163WN1003X` — Registered Nurse, Nutrition Support Plain English: Licensed & Credentialed Registered Nurse, Nutrition Support	State: FL \| License: `RN1612642` \| Primary: Secondary
`163WH0500X` — Registered Nurse, Hemodialysis Plain English: Licensed & Credentialed Registered Nurse, Hemodialysis	State: FL \| License: `RN1612642` \| Primary: Yes (Primary)

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ALL ACCESS MOBILE HEMODIALYSIS,LLC (NPI #1063763159)