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RUNSTONE DIALYSIS LLC NPI 1942732599


NPI Information

NPI: 1942732599
Provider Name: RUNSTONE DIALYSIS, LLC

Doing Business As: NOVI HOME TRAINING

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 23D2129824

Address:
27225 PROVIDENCE PKWY
STE 300
NOVI, MI
ZIP 48374
Phone: (248) 449-5996
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RUNSTONE DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Novi, MI. RUNSTONE DIALYSIS, LLC NPI is 1942732599. The provider is registered as an organization entity type.
The provider Is Doing Business As Novi Home Training.

The provider's business location address is:

27225 PROVIDENCE PKWY
STE 300
NOVI, MI
ZIP 48374-271
Phone: (248) 449-5996
Fax: (248) 449-6232

The provider's authorized official is Samuel 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 23D2129824 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2017 and was last updated on 8/17/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11942732599MEDICAIDMICHIGAN

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

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