HOME DIALYSIS OF LINCOLN LLC NPI 1629252770

NPI Information

NPI: 1629252770
Provider Name: HOME DIALYSIS OF LINCOLN, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
5355 S 16TH ST
LINCOLN, NE
ZIP 68512
Phone: (402) 489-5339
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HOME DIALYSIS OF LINCOLN, LLC is an end-stage renal disease (esrd) treatment clinic center in Lincoln, NE. HOME DIALYSIS OF LINCOLN, LLC NPI is 1629252770. The provider is registered as an organization entity type.

The provider's business location address is:

5355 S 16TH ST
LINCOLN, NE
ZIP 68512-277
Phone: (402) 489-5339
Fax: (402) 489-7366

The provider's authorized official is Karel S. Sysel .
The authorized official title is C.f.o. and has the following contact phone number (402) 489-5339.

The enumeration date for this NPI number is 12/26/2007 and was last updated on 5/10/2011.

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		NEBRASKA	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	282528	MEDICARE OSCAR/CERTIFICATION	NEBRASKA
2	10025826600	MEDICAID	NEBRASKA

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: 4/28/2024

NPI Synchronization or Removal

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