KIDNEY CENTERS OF MICHIGAN LLC (NPI# 1073574596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073574596 |
| Entity Type | Organization |
| Organization Name | KIDNEY CENTERS OF MICHIGAN LLC |
| Other Organization Name | NOVI DIALYSIS |
| Practice Address |
47250 W 10 Mile Rd Novi MI 48374-2932 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 2484494215 |
| Practice Fax Number | 2484494218 |
| Mailing Telephone | 8004674736 |
| Mailing Fax Number | 6153204487 |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2013-12-19 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4562260 | 05 |
| Other Name | Type Code |
|---|---|
| Novi Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508828708 | Kidney Centers of Michigan LLC | Clinic/Center | 21900 Melrose Ave, Ste 4, Southfield, MI 48075-7967 | 2006-04-04 |
| 1245292564 | Kidney Centers of Michigan LLC | Clinic/Center | 2766 Washtenaw Rd, Ypsilanti, MI 48197-1506 | 2006-04-03 |
| 1679535926 | Kidney Centers of Michigan LLC | Clinic/Center | 23857 Greenfield Rd, Southfield, MI 48075-3122 | 2006-04-03 |
| 1275594798 | Kidney Centers of Michigan LLC | Clinic/Center | 7700 2nd Ave, Detroit, MI 48202-2411 | 2006-04-01 |
| 1699736108 | Kidney Centers of Michigan LLC | Clinic/Center | 3625 Genesys Pkwy, Grand Blanc, MI 48439-8070 | 2006-04-01 |
| 1518928035 | Kidney Centers of Michigan LLC | Clinic/Center | 13481 W 10 Mile Rd, Oak Park, MI 48237-4633 | 2006-04-01 |
| 1619938131 | Kidney Centers of Michigan LLC | Clinic/Center | 450 N Telegraph Rd, Ste 600, Pontiac, MI 48341-1037 | 2006-04-01 |
| 1356302848 | Kidney Centers of Michigan LLC | Clinic/Center | 7960 Grand River Rd, Ste 210, Brighton, MI 48114-7336 | 2006-04-01 |
| 1558322057 | Kidney Centers of Michigan LLC | Clinic/Center | 2674 E Jefferson Ave, Detroit, MI 48207-4129 | 2006-04-01 |
| 1952362469 | Kidney Centers of Michigan LLC | Clinic/Center | 234 W Louis Glick Hwy, Ste 100, Jackson, MI 49201-1326 | 2006-04-01 |
| Street Address |
47250 W 10 MILE RD |
| City | NOVI |
| State | MI |
| Zip Code | 48374-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902323884 | Jhansi Navuluri | Physical Therapist | 27579 Etrada Lane, Novi, MI 48374 | 2017-08-23 |
| 1609306422 | James Vanderhaeghen | Foster Care Agency | 24375 Homestead Ct, Novi, MI 48374 | 2017-06-14 |
| 1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
| 1477937944 | Joseph Smola | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
| 1881005114 | Alpha Medical Services PC | Internal Medicine | 26131, Sunbury Ct, Novi, MI 48374 | 2014-05-08 |
| 1043565443 | Jason J Rizqallah | Surgery | 47601 Grand River Ave # B136, Novi, MI 48374 | 2012-07-21 |
| 1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
| 1891963799 | Luann Marie Redmond | Social Worker | 50598 Montana, Novi, MI 48374 | 2008-02-13 |
| 1427249424 | Ajay V Raman | Anesthesiology | 24875 Novi Road #454, Novi, MI 48374 | 2007-08-05 |
| 1003948233 | Sam's Club Optical | Technician/Technologist | 27300 Wixon Road, Novi, MI 48374 | 2007-03-12 |
| Find all providers in zip 48374 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942732599 | Runstone Dialysis, LLC | Clinic/Center | 27225 Providence Pkwy, Ste 300, Novi, MI 48374-1271 | 2017-04-03 |
| 1780062802 | Renal Treatment Centers Illinois Inc | Clinic/Center | 27150 Providence Pkwy, Ste A, Novi, MI 48374-1272 | 2015-05-08 |
| 1285007534 | Home Dialysis Services Novi | Clinic/Center | 39575 W 10 Mile Rd, Suite 101, Novi, MI 48375-2949 | 2015-11-09 |
| 1932473063 | Henry Ford Health System | Clinic/Center | 39525 W 14 Mile Rd, Suite 200, Novi, MI 48377-1632 | 2012-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497961 | Saint Marina Home Dialysis LLC | Clinic/Center | 26711 Northwestern Hwy Ste 125, Southfield, MI 48033-2170 | 2020-11-05 |
| 1144820226 | Heritage Home Dialysis LLC | Clinic/Center | 1580 N Leroy St Ste 6, Fenton, MI 48430-2801 | 2020-10-28 |
| 1386262350 | Delta Renal Care Pllc | Clinic/Center | 3981 Elizabeth Ave, Canton, MI 48188-7223 | 2020-07-07 |
| 1457973257 | Fms Owosso, LLC | Clinic/Center | 918 Corunna Ave, Owosso, MI 48867-3768 | 2020-05-14 |
| 1023650926 | Falmont Dialysis LLC | Clinic/Center | 37290 5 Mile Rd, Livonia, MI 48154-1848 | 2019-10-11 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1487123600 | Concerto Michigan LLC | Clinic/Center | 14700 Farmington Rd Ste 108, Livonia, MI 48154-5462 | 2018-11-16 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1851886592 | Fms Rochester Hills, LLC | Clinic/Center | 26400 W 12 Mile Rd Ste 112, Southfield, MI 48034-1785 | 2018-06-26 |
| 1801399753 | Kasaskia Dialysis LLC | Clinic/Center | 18001 E 10 Mile Rd Ste B, Roseville, MI 48066-3803 | 2018-03-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.