AFFILIATED HOME DIALYSIS LLC (NPI# 1750423869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750423869 |
| Entity Type | Organization |
| Organization Name | AFFILIATED HOME DIALYSIS LLC |
| Practice Address |
2462 Washington Rd Washington IL 61571-1756 |
| Practice Telephone | 3096981800 |
| Practice Fax Number | 3096981811 |
| Mailing Telephone | 3096981800 |
| Mailing Fax Number | 3096981811 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2016-07-12 |
| Authorized Official Name | MR. CURT D. ANLIKER (MEMBER) |
| Authorized Official Telephone | 6306904642 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396907267 | Affiliated Home Dialysis LLC | Clinic/Center | 1014 Bonaventure Dr, Elk Grove Village, IL 60007-3277 | 2008-07-01 |
| Street Address |
2462 WASHINGTON RD |
| City | WASHINGTON |
| State | IL |
| Zip Code | 61571-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904504 | Kelly Hornberger | Physical Therapist | 1201 Newcastle Rd., Washington, IL 61571 | 2018-09-01 |
| 1073050407 | Jillyn Cross | Occupational Therapist | 14 Oxford Court, Washington, IL 61571 | 2017-01-24 |
| 1639410772 | Stephen L Dejaynes | Counselor | 100 Hillcrest Drive, Washington, IL 61571 | 2013-03-14 |
| 1184998692 | One Counseling and Wellness | Counselor | 1003 North Cummings Lane, Washington, IL 61571 | 2012-03-01 |
| 1871878371 | M Lisa Kim | Pharmacist | 1700 Saddleridge Ct, Washington, IL 61571 | 2011-10-15 |
| 1073805156 | Skill Sprout International | Behavioral Analyst | 102 Walnut Street, Washington, IL 61571 | 2011-05-09 |
| 1659600948 | Skill Sprout, LLC | Behavioral Analyst | 128 Washington Square, Washington, IL 61571 | 2009-12-15 |
| 1700024916 | Julie Adams | Developmental Therapist | 700 S. Elm, Washington, IL 61571 | 2009-01-26 |
| 1851595128 | Michael John Herman | Dentist | 106 So Cummings Lane, Washington, IL 61571 | 2007-06-12 |
| 1861539132 | Gary Lee Cunningham | Dentist | 5 Laurel Ct., Washington, IL 61571 | 2007-01-30 |
| Find all providers in zip 61571 | ||||
| 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 |
|---|---|---|---|---|
| 1427441948 | Leaton Dialysis LLC | Clinic/Center | 1225 S Capitol St Sw, Washington, DC 20003-3524 | 2015-03-09 |
| 1194138669 | Rai Care Centers of Southeast Dc, LLC | Clinic/Center | 1918 14th St Se, Washington, DC 20020-4867 | 2014-06-03 |
| 1467889469 | Total Renal Care Inc | Clinic/Center | 1040 Washington Sq, Washington, MO 63090-5302 | 2013-10-04 |
| 1184934200 | Rai Care Centers of Dc I LLC | Clinic/Center | 6411 Chillum Pl Nw, Washington, DC 20012-2133 | 2010-10-08 |
| 1548573330 | Biniam K Haileab | Clinic/Center | 1 Dupont Cir Nw, Washington, DC 20036-1110 | 2010-07-21 |
| 1528290590 | International Dialysis Center, LLC | Clinic/Center | 1730 Hamlin St Ne, Washington, DC 20018-1838 | 2009-08-10 |
| 1770773939 | Capitol Dialysis LLC | Clinic/Center | 2601 18th St, Washington, DC 20018-1301 | 2007-07-25 |
| 1427145176 | Medstar - Georgetown Medical Center, Inc. | Clinic/Center | 3800 Reservoir Rd., Nw, Washington, DC 20007-2113 | 2006-10-06 |
| 1861596736 | Bio-medical Applications of Capitol Hill, Inc. | Clinic/Center | 900 M St Se, Washington, DC 20003-3614 | 2006-09-12 |
| 1497859367 | Bio-medical Applications of The District of Columbia, Inc. | Clinic/Center | 11 Dupont Cir Nw, Washington, DC 20036-1248 | 2006-09-12 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 61571 |
Please comment or provide details below to improve the information on AFFILIATED HOME DIALYSIS LLC.
| 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.