HOME DIALYSIS SERVICES OF SANDUSKY INC. (NPI# 1710910674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710910674 |
| Entity Type | Organization |
| Organization Name | HOME DIALYSIS SERVICES OF SANDUSKY INC. |
| Practice Address |
2819 Hayes Ave Suite 2 Sandusky OH 44870-5391 |
| Mailing Address |
2819 Hayes Ave Ste 8 Sandusky OH 44870-5391 |
| Practice Telephone | 4196278403 |
| Practice Fax Number | 4196271962 |
| Mailing Telephone | 4196270477 |
| Mailing Fax Number | 4196270466 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | GWANG OCH KIM (PRESIDENT) |
| Authorized Official Telephone | 4196270477 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | HOME DIALYSIS SERVICES OF SANDUSKY, 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000340065 | 01 |
| OH | 2472104 | 05 |
| Street Address |
2819 HAYES AVE SUITE 2 |
| City | SANDUSKY |
| State | OH |
| Zip Code | 44870-5391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706543 | Gwang Och Kim | Internal Medicine | 2819 Hayes Ave, Suite #1, Sandusky, OH 44870-5391 | 2005-08-04 |
| 1386939205 | Gregory J Gerber, M.d. LLC | Physical Medicine & Rehabilitation | 2819 Hayes Ave, Suite 7, Sandusky, OH 44870-5391 | 2011-06-20 |
| 1003130683 | M D Cooper Inc. | Internal Medicine | 2819 Hayes Ave, Ste. 6, Sandusky, OH 44870-5391 | 2010-03-25 |
| 1821233263 | Sally L Holt | Audiologist-Hearing Aid Fitter | 2819 Hayes Ave, Suite 8, Sandusky, OH 44870-5391 | 2008-12-15 |
| 1336228022 | Gregory Joseph Gerber | Physical Medicine & Rehabilitation | 2819 Hayes Ave, Suite 7, Sandusky, OH 44870-5391 | 2006-11-03 |
| 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 |
|---|---|---|---|---|
| 1548899602 | Northeast Ohio Home Dialysis LLC | Clinic/Center | 2819 S Hayes Ave Ste 8, Sandusky, OH 44870-5391 | 2020-04-02 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HOME DIALYSIS SERVICES OF SANDUSKY INC..
| 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.