KIDNEY HOME CENTER LLC NPI 1457500894

NPI Information

  • NPI: 1457500894
  • 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 CENTER PD
  • CLIA Number: 21D1097337
  • Address: 2270 ROLLING RUN DR STE 600
    WINDSOR MILL, MD
    ZIP 21244
  • Phone: (410) 265-0618

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NPI Details

KIDNEY HOME CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Windsor Mill, MD. KIDNEY HOME CENTER LLC NPI is 1457500894. The provider is registered as an organization entity type.
The provider Is Doing Business As Kidney Home Center Pd.

The provider's business location address is:

2270 ROLLING RUN DR STE 600
WINDSOR MILL, MD
ZIP 21244-864
Phone: (410) 265-0618
Fax: (410) 265-0614

The provider's authorized official is Samuel T Wey .
The authorized official title is Sr Director Licensure&certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 21D1097337 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2008 and was last updated on 8/30/2023.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentE2659MARYLANDYes

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
14186621 00MEDICAIDMARYLAND

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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