Kidney Home Center Pd

LBN: Kidney Home Center Llc
Kidney Home Center Pd is an health care organization with primary practice located at 2270 Rolling Run Dr Ste 600 , Windsor Mill MD 21244-1864. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Kidney Home Center Llc can be contacted via phone (410) 265-0618, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
2270 Rolling Run Dr Ste 600 Windsor Mill MD 21244-1864
Phone: (410) 265-0618
Fax: (410) 265-0614
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X E2659 Maryland

Profile Details

NPI number 1457500894
LBN Legal business name Kidney Home Center Llc
DBA Doing business as Kidney Home Center Pd
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2008
Last updated Aug 30th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457500894 NPPES
Maryland MEDICAID 4186621 00

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