LAPHAM DIALYSIS LLC NPI 1447692140

NPI Information

NPI: 1447692140
Provider Name: LAPHAM DIALYSIS LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: ELLIJAY HOME TRAINING
Address: 449 INDUSTRIAL BLVD
STE 245
ELLIJAY, GA
ZIP 30540
Phone: (706) 276-6040

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NPI Details

LAPHAM DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Ellijay, GA. LAPHAM DIALYSIS LLC NPI is 1447692140. The provider is registered as an organization entity type.
The provider Is Doing Business As Ellijay Home Training.

The provider's business location address is:

449 INDUSTRIAL BLVD
STE 245
ELLIJAY, GA
ZIP 30540-772
Phone: (706) 276-6040
Fax: (706) 276-6041

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 7/23/2013 and was last updated on 11/29/2023.

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	11D2068046	OTHER	GEORGIA	CLIA
2	003140980A	MEDICAID	GEORGIA

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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