NORTHEAST OHIO HOME DIALYSIS LLC (NPI# 1548899602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548899602 |
| Entity Type | Organization |
| Organization Name | NORTHEAST OHIO HOME DIALYSIS LLC |
| Other Organization Name | HOME DIALYSIS SERVICES OF SANDUSKY |
| Practice Address |
2819 S Hayes Ave Ste 8 Sandusky OH 44870-5391 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 4196270477 |
| Practice Fax Number | 4196270466 |
| Mailing Telephone | 6153204286 |
| Mailing Fax Number | 8665942893 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-05-19 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | Y |
| Parent Organization Name | DAVITA INC |
| 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 |
| Other Name | Type Code |
|---|---|
| Home Dialysis Services of Sandusky | Doing Business As Name - Organization |
| Street Address |
2819 S HAYES AVE STE 8 |
| City | SANDUSKY |
| State | OH |
| Zip Code | 44870-5391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154094 | Patricia Ann Barton | Non-emergency Medical Transport (VAN) | 622 Clinton St, Sandusky, OH 44870 | 2020-11-02 |
| 1154802080 | Kathryn Nicole Fisher | Counselor | 1975 Hayes Avenue, Sandusky, OH 44870 | 2018-08-28 |
| 1245727551 | Frank Lynn Fox Jr. | Audiologist | 1522 E Perkins Ave, Sandusky, OH 44870 | 2018-04-23 |
| 1689187338 | Marc Christian Lowe | Case Manager/Care Coordinator | 206 Brandon Blvd, Sandusky, OH 44870 | 2017-11-15 |
| 1043740079 | Charlene Jeanette Adams | Counselor | 1518 Pearl Street, Sandusky, OH 44870 | 2017-06-13 |
| 1386194884 | Max King I | Counselor | 912 Sycamore Line Apt.3d, Sandusky, OH 44870 | 2016-10-07 |
| 1811349475 | Dannon C Smith | Nurse Practitioner | 266 E Perkins Aveneue, Sandusky, OH 44870 | 2016-07-07 |
| 1053774810 | Rachel Lynn Holbrook | Nurse Practitioner | 266 E Perkins Ave, Sandusky, OH 44870 | 2016-03-30 |
| 1700246295 | Caren Westbrooks | Home Health Aide | 168 W. Shoreway Drive, Sandusky, OH 44870 | 2016-02-26 |
| 1679962260 | Academy of Arts and Sciences | Local Education Agency (LEA) | 328 E. Monroe Street, Sandusky, OH 44870 | 2015-01-20 |
| Find all providers in zip 44870 | ||||
| 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 |
|---|---|---|---|---|
| 1366611881 | Sandusky Dialysis LLC | Clinic/Center | 211 Lakeside Park, Sandusky, OH 44870-8639 | 2008-02-28 |
| 1194911156 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 47 Dawson Street, Suite 3, Sandusky, MI 48471-3324 | 2007-09-23 |
| 1720179880 | Renal Treatment Centers Illinois Inc | Clinic/Center | 795 Bardshar Rd, Sandusky, OH 44870-1505 | 2006-09-27 |
| 1710910674 | Home Dialysis Services of Sandusky Inc. | Clinic/Center | 2819 Hayes Ave, Suite 2, Sandusky, OH 44870-5391 | 2006-07-07 |
| 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 |
| 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 |
| 1609428184 | Usrc Akron LLC | Clinic/Center | 632 E Market St, Akron, OH 44304-1661 | 2019-07-15 |
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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.