COMMUNITY DIALYSIS CENTER (NPI# 1376630913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376630913 |
| Entity Type | Organization |
| Organization Name | COMMUNITY DIALYSIS CENTER |
| Other Organization Name | CENTER FOR DIALYSIS CARE, JEFFERSON |
| Practice Address |
222 E Beech St Jefferson OH 44047-9490 |
| Mailing Address |
18720 Chagrin Blvd Shaker Heights OH 44122-4855 |
| Practice Telephone | 4405767160 |
| Practice Fax Number | 4405767260 |
| Mailing Telephone | 2162957003 |
| Mailing Fax Number | 2162957014 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2015-06-17 |
| 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 |
0330DC | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 20000908 | 05 |
| Other Name | Type Code |
|---|---|
| Center for Dialysis Care, Jefferson | 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 |
| 1215024849 | Community Dialysis Center | Clinic/Center | 11717 Euclid Ave, Cleveland, OH 44106-4350 | 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 |
222 E BEECH ST |
| City | JEFFERSON |
| State | OH |
| Zip Code | 44047-9490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801881420 | Jefferson Health Center | Skilled Nursing Facility | 222 E Beech St, Jefferson, OH 44047-9490 | 2005-09-20 |
| 1396960746 | Samantha Nicole Walker | Physical Therapist | 222 E Beech St, Jefferson, OH 44047-9490 | 2007-04-13 |
| 1124076054 | Jefferson Medical Associates, LLC | Skilled Nursing Facility | 222 E Beech St, Jefferson, OH 44047-9490 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386043669 | Kathleen Susan Crim | Occupational Therapist | 42 South Chestnut Street, Jefferson Rehab and Wellness, Jefferson, OH 44047 | 2014-08-22 |
| 1215369897 | Kristy R Walker | Licensed Practical Nurse | 1811 South Denmark Rd, Jefferson, OH 44047 | 2013-08-06 |
| 1881824696 | Sharon K Cattell | Licensed Practical Nurse | 1152rt307west, Jefferson, OH 44047 | 2009-07-15 |
| 1003041864 | Deborah K. Franley | Family Medicine | 158 W. Jefferson St, Jefferson, OH 44047 | 2009-05-22 |
| 1184836751 | Cheryl Riggleman | Home Health Aide | 2902 Griggs Road, Jefferson, OH 44047 | 2007-05-04 |
| 1740341171 | Margaret Mary Hamper | Registered Nurse | 1507 Lenox New Lyme Rd, Jefferson, OH 44047 | 2006-12-12 |
| 1700963220 | Christopher R E Phillips | Dentist | 78 N Chestnut St, Jefferson, OH 44047 | 2006-11-01 |
| 1912074410 | Donald M Burkholder | Dentist | 78 N Chestnut St, Jefferson, OH 44047 | 2006-11-29 |
| 1205913738 | Casey J Hammond | Dentist | 78 N Chestnut St, Jefferson, OH 44047 | 2006-11-01 |
| 1518099852 | Gregory M. Ray | Chiropractor | 24 W Pine St, Jefferson, OH 44047-1022 | 2007-03-12 |
| Find all providers in zip 44047 | ||||
| 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 |
|---|---|---|---|---|
| 1497862130 | Nna of Louisiana LLC | Clinic/Center | 630 Deckbar Ave, Jefferson, LA 70121-2312 | 2006-08-25 |
| 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 |
| 1982242954 | Center for Dialysis Care Beachwood Home Care LLC | Clinic/Center | 3755 Orange Pl Ste 103, Beachwood, OH 44122-4455 | 2019-12-20 |
| 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 |
| 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.