022808 KENWOOD LLC (NPI# 1083870406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083870406 |
| Entity Type | Organization |
| Organization Name | 022808 KENWOOD LLC |
| Other Organization Name | LIBERTY DIALYSIS - KENWOOD |
| Practice Address |
8251 Pine Rd Ste 110 Cincinnati OH 45236-2193 |
| Practice Telephone | 5137450800 |
| Practice Fax Number | 5137459108 |
| Mailing Telephone | 5137450800 |
| Mailing Fax Number | 5137459108 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | JAMES J. DIVITO (VICE PRESIDENT) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| 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 |
| Other Name | Type Code |
|---|---|
| LIBERTY DIALYSIS - KENWOOD | Doing Business As Name - Organization |
| Street Address |
8251 PINE RD STE 110 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45236-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400975 | Kimberly Lorraine Carter | Technician | 3870 Alta Avenue, # 1, Cincinnati, OH 45236 | 2020-06-03 |
| 1548880032 | Manu Jacob George | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-24 |
| 1497384374 | Haider Hussain Shah | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Road, The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-03 |
| 1467091868 | Wickshire Deer Park Opco LLC | Assisted Living Facility | 3801 East Galbraith Road, Cincinnati, OH 45236 | 2020-01-02 |
| 1205497633 | Nicholas Theodore D'entremont | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Street - Jewish Hospital, Cincinnati, OH 45236 | 2019-06-26 |
| 1407410699 | Atchayaa Gunasekharan | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road, Cincinnati, OH 45236 | 2019-04-24 |
| 1225591043 | Lauren Elizabeth Hamilton | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2019-04-09 |
| 1972093714 | Hassan Shafique | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith, Cincinnati, OH 45236 | 2018-05-17 |
| 1912494915 | Milica Antic | Student in an Organized Health Care Education/Training Program | The Jewish Hospital, 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2018-04-16 |
| 1376041061 | Angela Eten | Nurse Practitioner | 4700 E Galbraith Rd Ste 301, Cincinnati, OH 45236 | 2018-01-27 |
| Find all providers in zip 45236 | ||||
| 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 |
|---|---|---|---|---|
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1225401649 | Cinld, LLC | Clinic/Center | 1555 Goodman Ave, Cincinnati, OH 45224-1058 | 2015-11-06 |
| 1144611278 | Texoma Dialysis LLC | Clinic/Center | 7700 Affinity Dr, Cincinnati, OH 45231-3566 | 2015-02-11 |
| 1033511092 | Infiniti Dialysis Center of Cincinnati LLC. | Clinic/Center | 4750 E. Galbraith Road, Suite #103, Cincinnati, OH 45236-6706 | 2014-09-22 |
| 1003236357 | Mermet Dialysis LLC | Clinic/Center | 7700 Affinity Pl, Cincinnati, OH 45231-3566 | 2014-04-24 |
| 1427489111 | Nxstage Cincinnati LLC | Clinic/Center | 12065 Montgomery Rd, Cincinnati, OH 45249-1728 | 2013-12-05 |
| 1922314582 | Fields Dialysis LLC | Clinic/Center | 2300 Wall St Ste O, Cincinnati, OH 45212-2789 | 2010-08-20 |
| 1770713026 | Dca of Kenwood LLC | Clinic/Center | 5150 E Galbraith Rd, Cincinnati, OH 45236-2871 | 2009-07-21 |
| 1730321696 | Fields Dialysis LLC | Clinic/Center | 1145 Kemper Meadow Dr, Cincinnati, OH 45240-4118 | 2009-03-24 |
| 1538304399 | Total Renal Care Inc | Clinic/Center | 3960 Red Bank Rd Ste 160, Cincinnati, OH 45227-3421 | 2008-12-09 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45236 |
Please comment or provide details below to improve the information on 022808 KENWOOD LLC.
| 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.