DCA OF KENWOOD LLC NPI 1770713026

NPI Information

NPI: 1770713026
Provider Name: DCA OF KENWOOD LLC

Doing Business As: U S RENAL CARE KENWOOD DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
5150 E GALBRAITH RD
CINCINNATI, OH
ZIP 45236
Phone: (513) 791-2698
Get Directions

DCA OF KENWOOD LLC is an end-stage renal disease (esrd) treatment clinic center in Cincinnati, OH. DCA OF KENWOOD LLC NPI is 1770713026. The provider is registered as an organization entity type.
The provider Is Doing Business As U S Renal Care Kenwood Dialysis.

The provider's business location address is:

5150 E GALBRAITH RD
CINCINNATI, OH
ZIP 45236-871
Phone: (513) 791-2698
Fax: (513) 791-6289

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Vice President & Secretary and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 36D1103454 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2009 and was last updated on 10/25/2013.

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		OHIO	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	3060664	MEDICAID	OHIO
2	362759	MEDICARE PIN	OHIO

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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