PREMIER HOME DIALYSIS SERVICES


Address: 20118 N 67th Ave Ste 300-527, Glendale, AZ 85308-4621
Phone: 6024485411

PREMIER HOME DIALYSIS SERVICES (NPI# 1437613916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437613916
Entity Type Organization
Organization Name PREMIER HOME DIALYSIS SERVICES
Practice Address 20118 N 67th Ave Ste 300-527
Glendale
AZ 85308-4621
Practice Telephone 6024485411
Mailing Telephone 6024485411
Enumeration Date 2019-01-29
Last Update Date 2019-01-29
Authorized Official Name MR. STEPHEN ERIK THOMPSON (FOUNDER/CEO)
Authorized Official Telephone 6024485411
Authorized Official Credential EMT/CPR/FF I&II
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 20118 N 67TH AVE STE 300-527
City GLENDALE
State AZ
Zip Code 85308-4621

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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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Competitor

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City GLENDALE
Zip Code 85308

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Dataset Information

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.

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