Organization Active NPI

Lorien Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Columbia, MD
National Provider Identifier
1013471416
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
LORIEN DIALYSIS, LLC
Practice address
6334 Cedar LN
Columbia, MD 21044-3898
Phone
(410) 750-7500
NPI assigned
Jan 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Mr. Louis G Grimmel Sr.
Title
President
Phone
(410) 750-7500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

6334 Cedar LN
Columbia, MD 21044-3898

Mailing address

3300 N Ridge Rd Ste 390
Ellicott City, MD 21043-3394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200219000565 MD Part A Provider - End-Stage Renal Disease Facility (ESRD) 1850728585 Practice locations: Columbia, MD

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Lorien Dialysis LLCCCN 212746
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Jul 31, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
12

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2181351Lorien Dialysis LLC6334 Cedar Lane, Columbia, MD 21044Certificate of waiverMar 31, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1013471416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N RIDGE RD STE 390",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6334 CEDAR LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443898",
            "telephone_number": "410-750-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORIEN DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "GRIMMEL",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-750-7500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.