EZ DIALYSIS, LLC


Address: 22 Alpha Park, Cleveland, OH 44143-2208
Phone: 2163756604

EZ DIALYSIS, LLC (NPI# 1760704100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760704100
Entity Type Organization
Organization Name EZ DIALYSIS, LLC
Practice Address 22 Alpha Park
Cleveland
OH 44143-2208
Practice Telephone 2163756604
Mailing Telephone 2163756604
Enumeration Date 2010-02-26
Last Update Date 2010-02-26
Authorized Official Name EUGENE PETERMAN (MANAGING DIRECTOR)
Authorized Official Telephone 2163756604
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
RN.337746 OH Ambulatory Health Care Facilities

Office Location

Street Address 22 ALPHA PARK
City CLEVELAND
State OH
Zip Code 44143-2208

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1740736503 Eleni Kidanu Podiatrist 27100, Richmond Heights, OH 44143 2016-08-31
1114307386 William Naylor Student in an Organized Health Care Education/Training Program 21700 Chardon Rd, University Hospitals Rmc, Richmond Heights, OH 44143 2015-06-03
1124408687 Kamila Phillips Registered Nurse 1806 Skyline Dr, Richmond Hts, OH 44143 2015-05-31
1154724300 Alexander Hynd IIi Hearing Aid Equipment 6555 Wilson Mills Road, Mayfield Village, OH 44143 2014-10-02
1760892269 Olabisi Titilola Odukoya Student in an Organized Health Care Education/Training Program 27155 Chardon Rd Ste 201, Cleveland, OH 44143 2014-05-06
1104243187 Joyce Niba Licensed Practical Nurse 440 Richmond Park East C601, Richmond Hts, OH 44143 2014-03-27
1023448495 Rose Mary Randle Registered Nurse 531 Gentry Circle West, Richmond Heights, OH 44143 2013-11-20
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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1407256092 Garrett Dialysis LLC Clinic/Center 4805 Pearl Rd, Cleveland, OH 44109-5145 2014-09-02
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
1568559128 Community Dialysis Center Clinic/Center 3330 W 25th St, Cleveland, OH 44109-1614 2006-10-06
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
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Competitor

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City CLEVELAND
Zip Code 44143

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Dataset Information

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.

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