COMMUNITY DIALYSIS CENTER (NPI# 1215024849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215024849 |
| Entity Type | Organization |
| Organization Name | COMMUNITY DIALYSIS CENTER |
| Other Organization Name | CENTER FOR DIALYSIS CARE, CLEVELAND EAST |
| Practice Address |
11717 Euclid Ave Cleveland OH 44106-4350 |
| Mailing Address |
18720 Chagrin Blvd Shaker Heights OH 44122-4855 |
| Practice Telephone | 2162951100 |
| Practice Fax Number | 2162292145 |
| Mailing Telephone | 2162957003 |
| Mailing Fax Number | 2162957014 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | DIANE P WISH (PRES AND CEO) |
| 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 |
0243DC | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0268722 | 05 |
| Other Name | Type Code |
|---|---|
| Center for Dialysis Care, Cleveland East | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477951648 | Community Dialysis Center | Clinic/Center | 1370 Addison Road, Cleveland, OH 44103 | 2014-12-19 |
| 1770882599 | Community Dialysis Center | Clinic/Center | 1233 Mentor Ave, Painesville, OH 44077-1833 | 2011-03-18 |
| 1619102795 | Community Dialysis Center | Clinic/Center | 27350 Cedar Rd, Beachwood, OH 44122-1110 | 2009-05-19 |
| 1568559128 | Community Dialysis Center | Clinic/Center | 3330 W 25th St, Cleveland, OH 44109-1614 | 2006-10-06 |
| 1437246063 | Community Dialysis Center | Clinic/Center | 8900 Tyler Blvd, Mentor, OH 44060-2185 | 2006-10-06 |
| 1376630913 | Community Dialysis Center | Clinic/Center | 222 E Beech St, Jefferson, OH 44047-9490 | 2006-10-06 |
| 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 |
11717 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-4350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| 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 |
|---|---|---|---|---|
| 1902461213 | Kollobe Dialysis LLC | Clinic/Center | 4670 Richmond Rd Ste 250, Cleveland, OH 44128-6411 | 2019-05-02 |
| 1477951648 | Community Dialysis Center | Clinic/Center | 1370 Addison Road, Cleveland, OH 44103 | 2014-12-19 |
| 1407256092 | Garrett Dialysis LLC | Clinic/Center | 4805 Pearl Rd, Cleveland, OH 44109-5145 | 2014-09-02 |
| 1760704100 | Ez Dialysis, LLC | Clinic/Center | 22 Alpha Park, Cleveland, OH 44143-2208 | 2010-02-26 |
| 1407186018 | Total Renal Care Inc | Clinic/Center | 2302 Community College Ave, Cleveland, OH 44115-3117 | 2010-01-04 |
| 1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
| 1568559128 | Community Dialysis Center | Clinic/Center | 3330 W 25th St, Cleveland, OH 44109-1614 | 2006-10-06 |
| 1669584413 | Rcg Mississippi, Inc. | Clinic/Center | 222 N Pearman Ave, Cleveland, MS 38732-2634 | 2006-08-31 |
| 1386759132 | Ohio Renal Care Group, LLC | Clinic/Center | 3280 W 25th St, Cleveland, OH 44109-1670 | 2006-08-20 |
| 1922113778 | Ohio Renal Care Group, LLC | Clinic/Center | 11203 Stokes Blvd, Cleveland, OH 44104-2525 | 2006-08-20 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on COMMUNITY DIALYSIS CENTER.
| 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.