KIDNEY HOME CENTER LLC NPI 1346621554

NPI Information

NPI: 1346621554
Provider Name: KIDNEY HOME CENTER, LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: KIDNEY HOME DOWNTOWN
Address: 200 SAINT PAUL ST STE 5
BALTIMORE, MD
ZIP 21202
Phone: (410) 244-5638

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NPI Details

KIDNEY HOME CENTER, LLC is an end-stage renal disease (esrd) treatment clinic center in Baltimore, MD. KIDNEY HOME CENTER, LLC NPI is 1346621554. The provider is registered as an organization entity type.
The provider Is Doing Business As Kidney Home Downtown.

The provider's business location address is:

200 SAINT PAUL ST STE 5
BALTIMORE, MD
ZIP 21202-025
Phone: (410) 244-5638
Fax: (410) 244-6405

The provider's authorized official is Samuel T 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 6/12/2015 and was last updated on 6/28/2024.

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	E2702	MARYLAND	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	2000466 00	MEDICAID	MARYLAND
2	E2702	OTHER	MARYLAND	STATE LICENSE

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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