COMMUNITY DIALYSIS CENTER. (NPI# 1154366581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154366581 |
| Entity Type | Organization |
| Organization Name | COMMUNITY DIALYSIS CENTER. |
| Other Organization Name | CENTER FOR DIALYSIS CARE AT PARK EAST |
| Practice Address |
3800 Park East Dr Beachwood OH 44122-4316 |
| Mailing Address |
18720 Chagrin Blvd Shaker Heights OH 44122-4855 |
| Practice Telephone | 2168314303 |
| Mailing Telephone | 2162957003 |
| Mailing Fax Number | 2162957014 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2015-12-07 |
| Authorized Official Name | MS. DIANE P WISH (VICE PRESIDENT) |
| Authorized Official Telephone | 2162957003 |
| 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 |
|---|---|---|---|
| OH | 2745668 | 05 |
| Other Name | Type Code |
|---|---|
| Center for Dialysis Care at Park East | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY DIALYSIS CENTER | 18720 Chagrin Blvd, Shaker Heights, OH 44122-4855 |
| Street Address |
3800 PARK EAST DR |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407229511 | Patricia Baptie | Community Health Worker | 3800 Park East Dr, Beachwood, OH 44122-4316 | 2015-11-11 |
| 1306246863 | Kristin Barnhart | Specialist | 3800 Park East Dr, Beachwood, OH 44122-4316 | 2014-09-02 |
| 1861734527 | Ronda Moss | Speech-Language Pathologist | 3800 Park East Dr, Beachwood, OH 44122-4316 | 2013-03-20 |
| 1720329477 | Johanna Lynn Vine | Speech-Language Pathologist | 3800 Park East Dr, Beachwood, OH 44122-4316 | 2013-03-05 |
| 1407191661 | Peter Li | Physical Therapy Assistant | 3800 Park East Dr, Beachwood, OH 44122 | 2012-11-29 |
| 1801109558 | Kellie Renae Graves | Occupational Therapist | 3800 Park East Dr, Beachwood, OH 44122-4316 | 2010-07-23 |
| 1881803476 | Marin Craciunescu | Physical Therapy Assistant | 3800 Park East Dr, Beachwood, OH 44122-4316 | 2007-05-21 |
| 1841329588 | Bernadette Jean Koltz | Physical Therapist | 3800 Park East Dr, Beachwood, OH 44122-4316 | 2007-03-05 |
| 1326154527 | Harborside of Cleveland Limited | Skilled Nursing Facility | 3800 Park East Dr, Beachwood, OH 44122-4316 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| 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 |
|---|---|---|---|---|
| 1982242954 | Center for Dialysis Care Beachwood Home Care LLC | Clinic/Center | 3755 Orange Pl Ste 103, Beachwood, OH 44122-4455 | 2019-12-20 |
| 1386146199 | Ohio Renal Holdings, LLC | Clinic/Center | 3609 Park East Dr Ste 106, Beachwood, OH 44122-4309 | 2018-03-07 |
| 1619102795 | Community Dialysis Center | Clinic/Center | 27350 Cedar Rd, Beachwood, OH 44122-1110 | 2009-05-19 |
| 1245746320 | Dialyze Direct Oh, LLC | Clinic/Center | 3619 Park East Dr, Beachwood, OH 44122-4330 | 2017-12-27 |
| 1114300266 | Affiliated Dialysis of Ohio LLC | Clinic/Center | 3619 Park East Dr, Ste 110-south, Beachwood, OH 44122-4330 | 2015-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744616 | Akron Renal Care Group, LLC | Clinic/Center | 2583 Center Rd, Hinckley, OH 44233-9561 | 2020-09-11 |
| 1366057747 | Akron Renal Care Group, LLC | Clinic/Center | 9200 Staples Dr Ste A, Streetsboro, OH 44241-3950 | 2020-09-11 |
| 1518570886 | Independent Dialysis Group Northeast Ohio LLC | Clinic/Center | 48444 Bell School Rd Ste 4, Calcutta, OH 43920-9646 | 2020-08-26 |
| 1871106401 | Akron Renal Care Group, LLC | Clinic/Center | 401 Devon Pl Ste 100, Kent, OH 44240-6481 | 2020-08-24 |
| 1558985663 | Wyandot Dialysis Clinic LLC | Clinic/Center | 1207 E Wyandot Ave, Upper Sandusky, OH 43351-9647 | 2020-06-04 |
| 1245854876 | Concerto Ohio LLC | Clinic/Center | 2111 S Green Rd, South Euclid, OH 44121-3350 | 2020-05-29 |
| 1548899602 | Northeast Ohio Home Dialysis LLC | Clinic/Center | 2819 S Hayes Ave Ste 8, Sandusky, OH 44870-5391 | 2020-04-02 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1912554486 | Usrc Tiffin, LLC | Clinic/Center | 100 Shaffer Park Dr Ste A, Tiffin, OH 44883-8536 | 2019-08-20 |
| 1609428184 | Usrc Akron LLC | Clinic/Center | 632 E Market St, Akron, OH 44304-1661 | 2019-07-15 |
| 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.