BLAKE DIALYSIS LLC NPI 1497033229

NPI Information

  • NPI: 1497033229
  • Provider Name: BLAKE DIALYSIS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: MILL STREET HOMETRAINING
  • CLIA Number: 52D2031728
  • Address: N54 W6135 MILL ST
    STE 500
    CEDARBURG, WI
    ZIP 53012
  • Phone: (262) 377-2158

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NPI Details

BLAKE DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Cedarburg, WI. BLAKE DIALYSIS LLC NPI is 1497033229. The provider is registered as an organization entity type.
The provider Is Doing Business As Mill Street Hometraining.

The provider's business location address is:

N54 W6135 MILL ST
STE 500
CEDARBURG, WI
ZIP 53012-067
Phone: (262) 377-2158
Fax: (262) 377-2191

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 CLIA number assigned to this NPI record is 52D2031728 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2011 and was last updated on 2/23/2024.

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

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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