NORTHWEST DETROIT DIALYSIS CENTER LLC (NPI# 1295047710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295047710 |
| Entity Type | Organization |
| Organization Name | NORTHWEST DETROIT DIALYSIS CENTER LLC |
| Practice Address |
21000 Northwestern Hwy Southfield MI 48075-5306 |
| Mailing Address |
30100 Telegraph Rd Ste 200 Bingham Farms MI 48025-4516 |
| Practice Telephone | 2485577000 |
| Practice Fax Number | 2485577786 |
| Mailing Telephone | 2486425038 |
| Mailing Fax Number | 2486427140 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | MR. DAVID F SHEPHERD (VICE PRESIDENT) |
| Authorized Official Telephone | 2486425038 |
| 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 |
B8672P | MI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083634463 | Northwest Detroit Dialysis Center LLC | Clinic/Center | 25664 Lahser Rd, Southfield, MI 48033-5810 | 2006-07-20 |
| Street Address |
21000 NORTHWESTERN HWY |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-5306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427510353 | Cathy Saski | Dietitian, Registered | 21000 Northwestern Hwy, Southfield, MI 48075-5306 | 2019-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| 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 |
|---|---|---|---|---|
| 1801497961 | Saint Marina Home Dialysis LLC | Clinic/Center | 26711 Northwestern Hwy Ste 125, Southfield, MI 48033-2170 | 2020-11-05 |
| 1851886592 | Fms Rochester Hills, LLC | Clinic/Center | 26400 W 12 Mile Rd Ste 112, Southfield, MI 48034-1785 | 2018-06-26 |
| 1568849826 | Renal Treatment Centers Illinois Inc | Clinic/Center | 21900 Melrose Ave Ste 4, Southfield, MI 48075-7967 | 2015-05-06 |
| 1841614591 | Cure Dialysis LLC | Clinic/Center | 24001 Southfield Rd Ste 203b, Southfield, MI 48075-2847 | 2014-02-14 |
| 1083861959 | Tree City Dialysis LLC | Clinic/Center | 24467 W 10 Mile Rd, Southfield, MI 48033-2931 | 2008-08-22 |
| 1083634463 | Northwest Detroit Dialysis Center LLC | Clinic/Center | 25664 Lahser Rd, Southfield, MI 48033-5810 | 2006-07-20 |
| 1508828708 | Kidney Centers of Michigan LLC | Clinic/Center | 21900 Melrose Ave, Ste 4, Southfield, MI 48075-7967 | 2006-04-04 |
| 1679535926 | Kidney Centers of Michigan LLC | Clinic/Center | 23857 Greenfield Rd, Southfield, MI 48075-3122 | 2006-04-03 |
| 1508827015 | Dva Healthcare Renal Care Inc | Clinic/Center | 18544 W 8 Mile Rd, Southfield, MI 48075-4194 | 2006-04-01 |
| 1194211433 | Fms Beaumont Health, LLC | Clinic/Center | 26400 W 12 Mile Rd Ste 112, Southfield, MI 48034-1785 | 2018-07-10 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on NORTHWEST DETROIT DIALYSIS CENTER 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.