KIDNEY CENTERS OF MICHIGAN LLC (NPI# 1952362469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952362469 |
| Entity Type | Organization |
| Organization Name | KIDNEY CENTERS OF MICHIGAN LLC |
| Other Organization Name | JACKSON DIALYSIS |
| Practice Address |
234 W Louis Glick Hwy Ste 100 Jackson MI 49201-1326 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 5178411712 |
| Practice Fax Number | 5178411724 |
| Mailing Telephone | 6153416480 |
| Mailing Fax Number | 8663819878 |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2013-12-19 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4562205 | 05 |
| Other Name | Type Code |
|---|---|
| Jackson Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508828708 | Kidney Centers of Michigan LLC | Clinic/Center | 21900 Melrose Ave, Ste 4, Southfield, MI 48075-7967 | 2006-04-04 |
| 1245292564 | Kidney Centers of Michigan LLC | Clinic/Center | 2766 Washtenaw Rd, Ypsilanti, MI 48197-1506 | 2006-04-03 |
| 1679535926 | Kidney Centers of Michigan LLC | Clinic/Center | 23857 Greenfield Rd, Southfield, MI 48075-3122 | 2006-04-03 |
| 1275594798 | Kidney Centers of Michigan LLC | Clinic/Center | 7700 2nd Ave, Detroit, MI 48202-2411 | 2006-04-01 |
| 1699736108 | Kidney Centers of Michigan LLC | Clinic/Center | 3625 Genesys Pkwy, Grand Blanc, MI 48439-8070 | 2006-04-01 |
| 1518928035 | Kidney Centers of Michigan LLC | Clinic/Center | 13481 W 10 Mile Rd, Oak Park, MI 48237-4633 | 2006-04-01 |
| 1619938131 | Kidney Centers of Michigan LLC | Clinic/Center | 450 N Telegraph Rd, Ste 600, Pontiac, MI 48341-1037 | 2006-04-01 |
| 1073574596 | Kidney Centers of Michigan LLC | Clinic/Center | 47250 W 10 Mile Rd, Novi, MI 48374-2932 | 2006-04-01 |
| 1356302848 | Kidney Centers of Michigan LLC | Clinic/Center | 7960 Grand River Rd, Ste 210, Brighton, MI 48114-7336 | 2006-04-01 |
| 1558322057 | Kidney Centers of Michigan LLC | Clinic/Center | 2674 E Jefferson Ave, Detroit, MI 48207-4129 | 2006-04-01 |
| Street Address |
234 W LOUIS GLICK HWY STE 100 |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669850863 | Renal Treatment Centers Illinois Inc | Clinic/Center | 234 W Louis Glick Hwy, Jackson, MI 49201-1326 | 2015-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| 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 |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1417481755 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 656 N State St, Jackson, MS 39202-3303 | 2017-04-13 |
| 1619274610 | Total Renal Care Inc | Clinic/Center | 46 Harts Bridge Road, Jackson, TN 38301-0000 | 2011-02-28 |
| 1770711509 | Fresenius Medical Care Kidney and Hypertension, LLC | Clinic/Center | 128 N Elm Ave, Jackson, MI 49202-3502 | 2009-07-01 |
| 1720220213 | Ara-jackson Dialysis LLC | Clinic/Center | 3 Acy Ave, Suite B, Jackson, OH 45640-9561 | 2009-03-30 |
| 1912166778 | Bio-medical Applications of Ohio Inc | Clinic/Center | 820 Veterans Dr, Jackson, OH 45640-2411 | 2008-06-06 |
| 1548489149 | Synergy Dialysis Associates, LLC | Clinic/Center | 500 Mccarty Ln, Jackson, OH 45640 | 2007-04-24 |
| 1245324045 | Rai Care Centers of Michigan I, LLC | Clinic/Center | 200 South East Ave., Jackson, MI 49201-2414 | 2006-10-03 |
| 1013019215 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1550 Highway 15 S Ste 30, Jackson, KY 41339-9221 | 2006-09-01 |
| 1518079359 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 2995 Race St, Jackson, LA 70748-5839 | 2006-08-31 |
| Find all providers in JACKSON | ||||
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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.