KIDNEY CENTERS OF MICHIGAN LLC (NPI# 1558322057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558322057 |
| Entity Type | Organization |
| Organization Name | KIDNEY CENTERS OF MICHIGAN LLC |
| Other Organization Name | DETROIT DIALYSIS CENTER |
| Practice Address |
2674 E Jefferson Ave Detroit MI 48207-4129 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 3135672224 |
| Practice Fax Number | 3135672503 |
| Mailing Telephone | 6153416480 |
| Mailing Fax Number | 8663819878 |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2013-12-19 |
| 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4562107 | 05 |
| Other Name | Type Code |
|---|---|
| Detroit Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508828708 | Kidney Centers of Michigan LLC | Clinic/Center | 21900 Melrose Ave, Ste 4, Southfield, MI 48075-7967 | 2006-04-04 |
| 1245292564 | Kidney Centers of Michigan LLC | Clinic/Center | 2766 Washtenaw Rd, Ypsilanti, MI 48197-1506 | 2006-04-03 |
| 1679535926 | Kidney Centers of Michigan LLC | Clinic/Center | 23857 Greenfield Rd, Southfield, MI 48075-3122 | 2006-04-03 |
| 1275594798 | Kidney Centers of Michigan LLC | Clinic/Center | 7700 2nd Ave, Detroit, MI 48202-2411 | 2006-04-01 |
| 1699736108 | Kidney Centers of Michigan LLC | Clinic/Center | 3625 Genesys Pkwy, Grand Blanc, MI 48439-8070 | 2006-04-01 |
| 1518928035 | Kidney Centers of Michigan LLC | Clinic/Center | 13481 W 10 Mile Rd, Oak Park, MI 48237-4633 | 2006-04-01 |
| 1619938131 | Kidney Centers of Michigan LLC | Clinic/Center | 450 N Telegraph Rd, Ste 600, Pontiac, MI 48341-1037 | 2006-04-01 |
| 1073574596 | Kidney Centers of Michigan LLC | Clinic/Center | 47250 W 10 Mile Rd, Novi, MI 48374-2932 | 2006-04-01 |
| 1356302848 | Kidney Centers of Michigan LLC | Clinic/Center | 7960 Grand River Rd, Ste 210, Brighton, MI 48114-7336 | 2006-04-01 |
| 1952362469 | Kidney Centers of Michigan LLC | Clinic/Center | 234 W Louis Glick Hwy, Ste 100, Jackson, MI 49201-1326 | 2006-04-01 |
| Street Address |
2674 E JEFFERSON AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| 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 |
|---|---|---|---|---|
| 1740789536 | Plover Dialysis LLC | Clinic/Center | 13945 Wyoming St, Detroit, MI 48238-2333 | 2018-02-07 |
| 1295192979 | Detroit Kidney Center LLC | Clinic/Center | 13437 Schaefer Hwy, Detroit, MI 48227-3538 | 2016-01-26 |
| 1245533371 | Chakudaku, Inc. | Clinic/Center | 1401 Rosa Parks Blvd, Detroit, MI 48216-1953 | 2010-12-11 |
| 1770816498 | Advanced Dialysis of Greater Detroit LLC | Clinic/Center | 18600 James Couzens Hwy, Detroit, MI 48235-2509 | 2009-09-14 |
| 1528294691 | Nephrology Center of Detroit LLC | Clinic/Center | 20001 Livernois Ave Ste 500, Detroit, MI 48221-4123 | 2009-06-03 |
| 1730227646 | Grosse Pointe Dialysis LLC | Clinic/Center | 18000 E Warren Ave, Ste 100, Detroit, MI 48224-1336 | 2007-02-02 |
| 1730286014 | Optimal Care Dialysis | Clinic/Center | 18600 James Couzens Fwy, Detroit, MI 48235-2509 | 2006-09-20 |
| 1538265335 | Afton Nephrology Associates | Clinic/Center | 19800 Woodward Ave, Detroit, MI 48203-5102 | 2006-09-16 |
| 1871608612 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 18430 Livernois Ave, Detroit, MI 48221-3295 | 2006-08-20 |
| 1093820839 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 18944 Grand River Ave, Detroit, MI 48223-2270 | 2006-08-20 |
| Find all providers in DETROIT | ||||
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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.