KIDNEY CARE AT HOME LLC NPI 1235765017

NPI Information

NPI: 1235765017
Provider Name: KIDNEY CARE AT HOME LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3445 N CENTRAL AVE
CHICAGO, IL
ZIP 60634
Phone: (630) 748-9407
Get Directions

KIDNEY CARE AT HOME LLC is an end-stage renal disease (esrd) treatment clinic center in Chicago, IL. KIDNEY CARE AT HOME LLC NPI is 1235765017. The provider is registered as an organization entity type.

The provider's business location address is:

3445 N CENTRAL AVE
CHICAGO, IL
ZIP 60634-420
Phone: (630) 748-9407

The provider's authorized official is Kareem M Syed Shah .
The authorized official title is Unit Director and has the following contact phone number (630) 748-9407.

The enumeration date for this NPI number is 3/12/2020 and was last updated on 3/12/2020.

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

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: 11/14/2023

NPI Synchronization or Removal

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