Clinton Township Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

CLINTON TOWNSHIP DIALYSIS LLC

Doing business as

Clinton Township Dialysis

Practice address

15918 19 Mile Rd
Ste 110
Clinton Township, MI 48038-1101

Phone

(586) 412-9195

Fax

(586) 412-9196

NPI assigned

Aug 29, 2007

Last updated

Feb 16, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel T Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clinton Township Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• St Clair Specialty Physicians PC

  dba St. Clair Nephrology, Idaho Nephrology Associates

  • Nephrology Physician
  • Roseville, MI
  • NPI 1154361616

  Member Of

  NPD member
• Renal Treatment Centers-Illinois Inc

  dba St Louis Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saint Louis, MO
  • NPI 1942261482

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eva Saha, M.D.

  • Nephrology Physician
  • Clinton Township, MI
  • NPI 1023117025
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1013101310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATT: L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4514",
            "fax_number": "866-594-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15918 19 MILE RD",
            "address_2": "STE 110",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381101",
            "telephone_number": "586-412-9195",
            "fax_number": "586-412-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON TOWNSHIP DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013101310",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Township Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinton Township Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clinton Medical Pharmacy (mgt investments enterprises llc)
• Clinton Pain and Anesthesia PLC
• Clinton Partners, LLC (Surgery Center of Clinton Township)
• Clinton RX
• Clinton Township Chiropractic PC
• Clinton Urgent Care Walk-in Clinic
• James E Clinton, D.O.
• Closer to the Heart LLC
• Samantha Cloutier, DO
• Stephen Roberts Cluff, D.O.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.