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).
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 |
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 |
20118 N 67TH AVE STE 300-527 |
City | GLENDALE |
State | AZ |
Zip Code | 85308-4621 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
Find all providers in zip 85308 |
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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1538666045 | Bio-medical Applications of Arizona LLC | Clinic/Center | 6622 N 91st Ave Ste 120, Glendale, AZ 85305-2512 | 2018-04-11 |
1538661483 | Bio-medical Applications of Arizona LLC | Clinic/Center | 6622 N 91st Ave Ste 210, Glendale, AZ 85305-2569 | 2018-03-07 |
1174043046 | Yards Dialysis LLC | Clinic/Center | 6850 San Fernando Rd, Glendale, CA 91201-1642 | 2017-06-22 |
1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
1962888560 | Genesis Services, LLC | Clinic/Center | 7407 88th St, Glendale, NY 11385-7951 | 2015-08-05 |
1578947636 | Bio-medical Applications of Arizona LLC | Clinic/Center | 4407 W Peoria Ave, Glendale, AZ 85302-2036 | 2015-07-17 |
1437241403 | Glendale Nephrology Services, LLC | Clinic/Center | 1427 S Glendale Ave, Glendale, CA 91205-3313 | 2006-09-28 |
1598877490 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 16844 N 59th Ave, Glendale, AZ 85306-1118 | 2006-08-31 |
1851403752 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 5957 W Northern Ave Ste 108, Glendale, AZ 85301-7825 | 2006-08-31 |
1316970080 | Midwest Dialysis Center, Inc | Clinic/Center | 400 W Estabrook Blvd, Glendale, WI 53212-1079 | 2006-07-08 |
Find all providers in GLENDALE |
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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.