DETROIT KIDNEY CENTER LLC (NPI# 1295192979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295192979 |
| Entity Type | Organization |
| Organization Name | DETROIT KIDNEY CENTER LLC |
| Practice Address |
13437 Schaefer Hwy Detroit MI 48227-3538 |
| Practice Telephone | 3132702709 |
| Practice Fax Number | 3132702720 |
| Mailing Telephone | 3132702709 |
| Mailing Fax Number | 3132702720 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | SHARI K COUSINS (SR. VP OF CLINICAL & REGULATORY) |
| Authorized Official Telephone | 9789223080 |
| 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 |
| Street Address |
13437 SCHAEFER HWY |
| City | DETROIT |
| State | MI |
| Zip Code | 48227-3538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215493549 | Sammie Edwards | Counselor | 15734 Sussex St, Detroit, MI 48227 | 2019-02-12 |
| 1124505698 | Unique Home of Love | Home Health | 15380 Snowden St, Detroit, MI 48227 | 2018-07-26 |
| 1386150977 | Saterra Squalls | Licensed Practical Nurse | 202048 Wyoming St., Detroit, MI 48227 | 2017-12-19 |
| 1952822967 | Extremely Blessed LLC | Non-emergency Medical Transport (VAN) | 11341 Longacre, Detroit, MI 48227 | 2017-06-29 |
| 1669920070 | Gina Clark-alexander | Technician, Other | 14271 Coyle St, Detroit, MI 48227 | 2016-09-14 |
| 1619423613 | Rala Jenice Ford | Behavioral Analyst | 15461 Whitcomb, Detroit, MI 48227 | 2016-08-30 |
| 1376927442 | Rena Adell Jackson | Homeopath | 14881greenfield Rd, Detroit, MI 48227 | 2015-07-17 |
| 1104226786 | Loving Heart Home Care | In Home Supportive Care | 12875 Archdale, Detroit, MI 48227 | 2014-09-02 |
| 1205265709 | Edward Cornelius Simmons | Massage Therapist | 15756 Forrer Street, Detroit, MI 48227 | 2013-11-05 |
| 1851641286 | Green Meadows Outreach Ministries | Case Management | 15901 Rutherford Street, Detroit, MI 48227 | 2012-09-13 |
| Find all providers in zip 48227 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1528294691 | Nephrology Center of Detroit LLC | Clinic/Center | 20001 Livernois Ave Ste 500, Detroit, MI 48221-4123 | 2009-06-03 |
| 1730227646 | Grosse Pointe Dialysis LLC | Clinic/Center | 18000 E Warren Ave, Ste 100, Detroit, MI 48224-1336 | 2007-02-02 |
| 1730286014 | Optimal Care Dialysis | Clinic/Center | 18600 James Couzens Fwy, Detroit, MI 48235-2509 | 2006-09-20 |
| 1538265335 | Afton Nephrology Associates | Clinic/Center | 19800 Woodward Ave, Detroit, MI 48203-5102 | 2006-09-16 |
| 1871608612 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 18430 Livernois Ave, Detroit, MI 48221-3295 | 2006-08-20 |
| 1093820839 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 18944 Grand River Ave, Detroit, MI 48223-2270 | 2006-08-20 |
| 1043325889 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 7733 E Jefferson Ave Ste 120, Detroit, MI 48214-3707 | 2006-08-20 |
| Find all providers in DETROIT | ||||
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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.