TARGHEE DIALYSIS LLC NPI 1083184451

NPI Information

NPI: 1083184451
Provider Name: TARGHEE DIALYSIS, LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: EASTGATE HOME TRAINING
Address: 4435 AICHOLTZ RD
STE 800B
CINCINNATI, OH
ZIP 45245
Phone: (513) 752-8301

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NPI Details

TARGHEE DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Cincinnati, OH. TARGHEE DIALYSIS, LLC NPI is 1083184451. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastgate Home Training.

The provider's business location address is:

4435 AICHOLTZ RD
STE 800B
CINCINNATI, OH
ZIP 45245-690
Phone: (513) 752-8301
Fax: (513) 752-8483

The provider's authorized official is Sam Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 11/28/2018 and was last updated on 4/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0366852	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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