ADVANCED DIALYSIS CENTER (NPI# 1295828051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295828051 |
| Entity Type | Organization |
| Organization Name | ADVANCED DIALYSIS CENTER |
| Practice Address |
9101 Liberty Rd Randallstown MD 21133-3521 |
| Mailing Address |
9320 Annapolis Rd Lanham MD 20706-3100 |
| Practice Telephone | 4104960077 |
| Practice Fax Number | 4104966677 |
| Mailing Telephone | 3015771007 |
| Mailing Fax Number | 3015771006 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MINESSIA ZARITA PEARSON (CFO) |
| Authorized Official Telephone | 3019437808 |
| Authorized Official Credential | MSN |
| 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 |
E2642R | MD | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699861922 | Advanced Dialysis Center | Registered Nurse | 610 Dutchmans Lane, Easton, MD 21601 | 2006-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ADVANCED DIALYSIS CENTER OF FORT LAUDERDALE | 911 E Oakland Park Blvd, Oakland Park, FL 33334-2725 |
| Street Address |
9101 LIBERTY RD |
| City | RANDALLSTOWN |
| State | MD |
| Zip Code | 21133-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619414869 | Michael Herlich | Developmental Therapist | 9101 Liberty Rd, Randallstown, MD 21133-3521 | 2017-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898313 | Olivia David | Registered Nurse | 3525 Liberty Resource Drive, Randallstown, MD 21133 | 2020-07-09 |
| 1366082547 | Jerry Njomgert Christopher | Home Health Aide | 9106 Sandra Ct. Randallstown, Randallstown, MD 21133 | 2020-01-15 |
| 1487138913 | For Hope's Sake, LLC | Substance Abuse Rehabilitation Facility | 9905 Southhall Road, Randallstown, MD 21133 | 2018-09-20 |
| 1295214393 | Levindale Hebrew Geriatric Center & Hospital Inc | Clinic/Center | Lifebridge Health Adult Day Services, 5400 Old Court Road, Randallstown, MD 21133 | 2018-08-09 |
| 1235623968 | Away of Change Counseling Service, LLC | Counselor | 5310 Old Court Rd Ste 304, Randallstown, MD 21133 | 2018-06-16 |
| 1922503382 | Top Care Residential Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8607 Liberty Rd, Randallstown, MD 21133 | 2018-03-28 |
| 1497274880 | Yushika M Shepherd | In Home Supportive Care | 8911 Allenswood Rd, Randallstown, MD 21133 | 2017-09-17 |
| 1790208718 | Productive Lives Mental Health, LLC | Clinic/Center | Randallstown Medical Center 5310 Old Court Rd Suite 308, Randallstown, MD 21133 | 2017-07-21 |
| 1982136198 | Marla Rosanne Yee | Dentist | 5415 Old Court Road, Suite 01, Randallstown, MD 21133 | 2017-03-28 |
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| Find all providers in zip 21133 | ||||
| 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 |
|---|---|---|---|---|
| 1760441075 | Mason Dixon Dialysis Facilities Inc | Clinic/Center | 3689 Offutt Rd, Ste A, Randallstown, MD 21133-3515 | 2006-03-23 |
| 1003159989 | Fresenius Medical Care Randallstown, LLC | Clinic/Center | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2013-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023648284 | Fresenius Medical Care Bowie, LLC | Clinic/Center | 16300 Heritage Blvd, Bowie, MD 20716-3106 | 2020-01-16 |
| 1710547344 | Fresenius Medical Care Fairmount Heights, LLC | Clinic/Center | 6301 Walker Mill Rd, District Heights, MD 83070 | 2019-06-17 |
| 1740840503 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 163 Jennifer Rd Ste A, Annapolis, MD 21401-3043 | 2019-06-14 |
| 1538725965 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 3000 N Ridge Rd Ste A, Ellicott City, MD 21043-3311 | 2019-05-10 |
| 1851957286 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 3419 Plumtree Dr Ste 103, Ellicott City, MD 21042-3871 | 2019-05-10 |
| 1144783598 | Fresenius Medical Care Southern Maryland Home, LLC | Clinic/Center | 3510 Old Washington Rd Ste 300, Waldorf, MD 20602-3236 | 2019-04-12 |
| 1205399854 | Mather Dialysis LLC | Clinic/Center | 1840 York Rd Ste A, Lutherville Timonium, MD 21093-5121 | 2019-04-10 |
| 1598228249 | Concerto Maryland LLC | Clinic/Center | 1531 S Edgewood St Ste D, Halethorpe, MD 21227-1138 | 2019-04-10 |
| 1346709037 | Dialyze Direct Md, LLC | Clinic/Center | 502 Mccormick Dr, Glen Burnie, MD 21061-3216 | 2019-03-13 |
| 1306323050 | Wyota Dialysis, LLC | Clinic/Center | 11700 Livingston Rd, Fort Washington, MD 20744-5150 | 2018-07-25 |
| Find all providers with the same taxonomy | ||||
| City | RANDALLSTOWN |
| Zip Code | 21133 |
Please comment or provide details below to improve the information on ADVANCED 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.