OHIO RENAL CARE GROUP, LLC (NPI# 1922113778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922113778 |
| Entity Type | Organization |
| Organization Name | OHIO RENAL CARE GROUP, LLC |
| Other Organization Name | ORCG EAST |
| Practice Address |
11203 Stokes Blvd Cleveland OH 44104-2525 |
| Practice Telephone | 2163680004 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7814029000 |
| 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 |
| Other Name | Type Code |
|---|---|
| ORCG EAST | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477783116 | Ohio Renal Care Group, LLC | Clinic/Center | 1100 Redwood Dr, Ashland, OH 44805-4505 | 2009-07-15 |
| 1750497681 | Ohio Renal Care Group, LLC | Clinic/Center | 26450 Euclid Ave, Euclid, OH 44132-3307 | 2006-08-22 |
| 1013022862 | Ohio Renal Care Group, LLC | Clinic/Center | 14670 Snow Rd, Brook Park, OH 44142-2461 | 2006-08-20 |
| 1386759132 | Ohio Renal Care Group, LLC | Clinic/Center | 3280 W 25th St, Cleveland, OH 44109-1670 | 2006-08-20 |
| 1659486405 | Ohio Renal Care Group, LLC | Clinic/Center | 5035 Richmond Rd, Bedford, OH 44146-1328 | 2006-08-20 |
| 1912012774 | Ohio Renal Care Group, LLC | Clinic/Center | 6020 Enterprise Pkwy, Solon, OH 44139-2753 | 2006-08-20 |
| 1740720192 | Ohio Renal Care Group, LLC | Clinic/Center | 4200 Warrensville Center Rd, Ste 100, Warrensville Heights, OH 44122-7051 | 2017-03-06 |
| 1437426640 | Ohio Renal Care Group, LLC | Clinic/Center | 13944 Euclid Ave, East Cleveland, OH 44112-3832 | 2011-11-17 |
| 1720218464 | Ohio Renal Care Group, LLC | Clinic/Center | 26024 Detroit Rd, Westlake, OH 44145-2427 | 2009-07-15 |
| 1609982537 | Ohio Renal Care Group, LLC | Clinic/Center | 11203 Stokes Blvd, 3rd Floor, Cleveland, OH 44104-2525 | 2006-08-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | OHIO RENAL CARE GROUP, LLC | 9500 Euclid Ave., Cleveland, OH 44195-5108 |
| Street Address |
11203 STOKES BLVD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44104-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609982537 | Ohio Renal Care Group, LLC | Clinic/Center | 11203 Stokes Blvd, 3rd Floor, Cleveland, OH 44104-2525 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619510419 | Gwen Burtin | Technician | 9908 Kennedy Ave, Cleveland, OH 44104 | 2019-10-24 |
| 1215422001 | Julia Shneyderman | Dentist | 11202 Shaker Blvd Ste 136, Cleveland, OH 44104 | 2018-06-25 |
| 1477058527 | Kwananda A Plato | Technician | 9717 Elwell Ave., Cleveland, OH 44104 | 2018-03-29 |
| 1073035887 | Tia Marie Heard | Home Health | 4591 Quincy Avenue Building Q, Cleveland, OH 44104 | 2017-07-13 |
| 1407306608 | Shelby Mcquiller | Social Worker | 2632 E 115th St, Cleveland, OH 44104 | 2016-10-11 |
| 1568852390 | Cleveland Arts & Social Sciences Academy | Psychologist | 10701 Shaker Blvd, Cleveland, OH 44104 | 2015-02-02 |
| 1164827705 | Eboni Danyale Jordan | Licensed Practical Nurse | 3143 East 99th, Cleveland, OH 44104 | 2014-10-24 |
| 1902224157 | Woodland Academy, Inc. | Local Education Agency (LEA) | 10615 Lamontier Blvd., Cleveland, OH 44104 | 2014-04-04 |
| 1467793778 | Teresa M Evans-guyton | Nurse Practitioner | 11201 Shaker Blvd Ste 240, Cleveland, OH 44104 | 2013-03-12 |
| 1023387057 | Roslyn Jeanette Carter | Home Health Aide | 9423 Ramona Blvd, Cleveland, OH 44104 | 2011-12-20 |
| Find all providers in zip 44104 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 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 |
| 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 |
| 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.