GARRETT DIALYSIS LLC (NPI# 1407256092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407256092 |
| Entity Type | Organization |
| Organization Name | GARRETT DIALYSIS LLC |
| Other Organization Name | RIDGE PARK DIALYSIS |
| Practice Address |
4805 Pearl Rd Cleveland OH 44109-5145 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 2163986029 |
| Practice Fax Number | 2163986053 |
| Mailing Telephone | 6152383051 |
| Mailing Fax Number | 8002468346 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
1118DC | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0141166 | 05 |
| Other Name | Type Code |
|---|---|
| Ridge Park Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508266289 | Garrett Dialysis LLC | Clinic/Center | 20790 Lorain Road, Fairview Park, OH 44126-0000 | 2014-08-29 |
| 1598006959 | Garrett Dialysis LLC | Clinic/Center | 3812 Center Rd, Ste 101, Brunswick, OH 44212-3025 | 2013-03-11 |
| Street Address |
4805 PEARL RD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44109-5145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| 1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
| 1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
| 1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
| 1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
| 1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
| Find all providers in zip 44109 | ||||
| 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 |
| 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 |
| 1215024849 | Community Dialysis Center | Clinic/Center | 11717 Euclid Ave, Cleveland, OH 44106-4350 | 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 | ||||
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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.