BRAIDWOOD DIALYSIS LLC NPI 1942623129

NPI Information

  • NPI: 1942623129
  • Provider Name: BRAIDWOOD DIALYSIS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: KIDNEY HOME DOWNTOWN
  • CLIA Number: 21D2088738
  • Address: 200 SAINT PAUL PL
    SUITE 5
    BALTIMORE, MD
    ZIP 21202
  • Phone: (410) 244-5638

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NPI Details

BRAIDWOOD DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Baltimore, MD. BRAIDWOOD DIALYSIS LLC NPI is 1942623129. The provider is registered as an organization entity type.
The provider Is Doing Business As Kidney Home Downtown.

The provider's business location address is:

200 SAINT PAUL PL
SUITE 5
BALTIMORE, MD
ZIP 21202-004
Phone: (410) 244-5638
Fax: (410) 244-6405

The provider's authorized official is James K Hilger .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4500.

The CLIA number assigned to this NPI record is 21D2088738 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2014 and was last updated on 9/22/2014.

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?

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This page was last updated on: 11/21/2025

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