DIALYSIS CARE CENTER MERRILLVILLE LLC


Address: 349 W 80th Pl, Merrillville, IN 46410-5433
Phone: 2194440545

DIALYSIS CARE CENTER MERRILLVILLE LLC (NPI# 1114583697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114583697
Entity Type Organization
Organization Name DIALYSIS CARE CENTER MERRILLVILLE LLC
Practice Address 349 W 80th Pl
Merrillville
IN 46410-5433
Mailing Address Po Box 3134
Joliet
IL 60434-3134
Practice Telephone 2194440545
Practice Fax Number 2194440548
Mailing Telephone 8157147171
Enumeration Date 2019-05-10
Last Update Date 2019-11-15
Authorized Official Name MORUFU OLATUNJI ALAUSA (CHIEF MEDICAL DIRECTOR)
Authorized Official Telephone 8157416830
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 349 W 80TH PL
City MERRILLVILLE
State IN
Zip Code 46410-5433

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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1386759124 Everest Healthcare Indiana, Inc. Clinic/Center 8670 Broadway, Merrillville, IN 46410-7034 2006-08-20
1124082680 Trc Indiana LLC Clinic/Center 9223 Taft St, Merrillville, IN 46410-6911 2006-04-13
1437530136 Home Dialysis Services Merrillville LLC Clinic/Center 200 E 80th Pl, Unit 2, Merrillville, IN 46410-5671 2015-06-18

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1326601808 The Dialysis Center of Hammond-whiting LLC Clinic/Center 1005 5th Avenue, Hammond, IN 46320-1004 2019-04-19
1770049017 Dialyze Direct In LLC Clinic/Center 13295 Illinois St Ste 210, Carmel, IN 46032-3021 2019-02-12
1174006662 Isd Renal Inc Clinic/Center 2636 W Michigan St, Indianapolis, IN 46222-3727 2018-09-11
1770062663 The Dialysis Center of Valparaiso LLC Clinic/Center 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 2018-08-10
1831685882 Total Renal Care Inc Clinic/Center 2 Executive Dr Ste B, Lafayette, IN 47905-4878 2018-07-02
1609378165 The Dialysis Center of Gary LLC Clinic/Center 1705 West 25th Avenue, Suite 101, Gary, IN 46404-3544 2018-03-01
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Competitor

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City MERRILLVILLE
Zip Code 46410

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Dataset Information

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.

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