HOME DIALYSIS THERAPIES, INC (NPI# 1639655616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639655616 |
| Entity Type | Organization |
| Organization Name | HOME DIALYSIS THERAPIES, INC |
| Practice Address |
216 W Main St Havana IL 62644-1138 |
| Mailing Address |
5811 W Ivybridge Pl Peoria IL 61615-9289 |
| Practice Telephone | 3096426705 |
| Mailing Telephone | 3145609648 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |
| Authorized Official Name | DR. AHSAN USMAN (CEO) |
| Authorized Official Telephone | 3145609648 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
216 W MAIN ST |
| City | HAVANA |
| State | IL |
| Zip Code | 62644-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982771218 | Mason County Health Department | Clinic/Center | 1002 East Laurel Avenue, Havana, IL 62644 | 2006-11-30 |
| 1346206315 | Havana Hco, LLC | Skilled Nursing Facility | 609 N Harpham St, Havana, IL 62644 | 2006-04-26 |
| 1902849649 | Mason Hospital District | General Acute Care Hospital | 615 N Promenade St, Havana, IL 62644-1015 | 2006-06-13 |
| 1356307433 | Bruce Schultz | Family Medicine | 615 N Promenade St, Havana, IL 62644-1015 | 2006-04-26 |
| 1245296979 | Tad A Yetter | Internal Medicine | 615 N Promenade St, Havana, IL 62644-1015 | 2006-04-21 |
| 1427561489 | Brandi Nicole Behymer | Nurse's Aide | 320 N Plum St, Havana, IL 62644-1127 | 2017-11-13 |
| 1225032071 | R & Q Corporation | Pharmacy | 201 W Main St, Havana, IL 62644-1137 | 2005-06-09 |
| 1750382990 | Anthony Dale Roberts | Chiropractor | 303 W Main St, Havana, IL 62644-1139 | 2005-08-10 |
| 1962816868 | John Stinauer | Dentist | 312 W Main St, Havana, IL 62644-1140 | 2014-06-18 |
| 1831469998 | Bleem Family Chiropractic Inc | Chiropractor | 314 W Main St, Havana, IL 62644-1140 | 2012-01-06 |
| Find all providers in zip 62644 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1215499405 | Leading Physician Partners Aco LLC | Clinic/Center | 715 W Lake St Ste 202, Addison, IL 60101-2082 | 2019-04-05 |
| 1346708815 | Erin Conway, Psyd, PC | Clinic/Center | 444 S Rand Rd Ste 214, Lake Zurich, IL 60047-2307 | 2019-03-04 |
| 1891252078 | Essence Healthcare Services LLC | Clinic/Center | 10449 Venice Ln, Orland Park, IL 60467-8218 | 2019-02-25 |
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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.