COMMUNITY DIALYSIS CENTER (NPI# 1568559128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568559128 |
| Entity Type | Organization |
| Organization Name | COMMUNITY DIALYSIS CENTER |
| Other Organization Name | CENTER FOR DIALYSIS CARE, CLEVELAND WEST |
| Practice Address |
3330 W 25th St Cleveland OH 44109-1614 |
| Mailing Address |
18720 Chagrin Blvd Shaker Heights OH 44122-4855 |
| Practice Telephone | 2167415776 |
| Practice Fax Number | 2167415467 |
| Mailing Telephone | 2162957003 |
| Mailing Fax Number | 2162957014 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2013-07-10 |
| Authorized Official Name | DIANE P WISH (PRES AND CEO) |
| Authorized Official Telephone | 2162957003 |
| 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 |
0368DC | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3127262 | 05 |
| Other Name | Type Code |
|---|---|
| Center for Dialysis Care, Cleveland West | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477951648 | Community Dialysis Center | Clinic/Center | 1370 Addison Road, Cleveland, OH 44103 | 2014-12-19 |
| 1770882599 | Community Dialysis Center | Clinic/Center | 1233 Mentor Ave, Painesville, OH 44077-1833 | 2011-03-18 |
| 1619102795 | Community Dialysis Center | Clinic/Center | 27350 Cedar Rd, Beachwood, OH 44122-1110 | 2009-05-19 |
| 1437246063 | Community Dialysis Center | Clinic/Center | 8900 Tyler Blvd, Mentor, OH 44060-2185 | 2006-10-06 |
| 1215024849 | Community Dialysis Center | Clinic/Center | 11717 Euclid Ave, Cleveland, OH 44106-4350 | 2006-10-06 |
| 1376630913 | Community Dialysis Center | Clinic/Center | 222 E Beech St, Jefferson, OH 44047-9490 | 2006-10-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY DIALYSIS CENTER | 18720 Chagrin Blvd, Shaker Heights, OH 44122-4855 |
| Street Address |
3330 W 25TH ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44109-1614 |
| 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 |
| 1407256092 | Garrett Dialysis LLC | Clinic/Center | 4805 Pearl Rd, Cleveland, OH 44109-5145 | 2014-09-02 |
| 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 |
| 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.