Active NPI
Fresenius Medical Care Madison Home, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Huntsville, AL
National Provider Identifier
1013724376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- FRESENIUS MEDICAL CARE MADISON HOME, LLC
- Practice address
- 2317 Memorial Pkwy SW Ste 105
Huntsville, AL 35801-0009 - Phone
- (938) 227-6925
- Fax
- (938) 247-1846
- NPI assigned
- Dec 11, 2024
- Organization subpart
- Yes
- Parent organization
- FRESENIUS MEDICAL CARE HOLDINGS, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barry L Blanton
- Title
- Vice President
- Phone
- (781) 699-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
2317 Memorial Pkwy SW Ste 105
Huntsville, AL 35801-0009
Mailing address
2317 Memorial Pkwy SW Ste 105
Huntsville, AL 35801-0009
Phone (938) 227-6925
Other names 1
- Fresenius Kidney Care Metro Huntsville
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Madison, AL
- NPI 1003508011
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Huntsville, AL
- NPI 1164239422
Locations
2317 Memorial Pkwy SW
Ste 105
Huntsville, AL 35801
Phone (256) 427-4859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733875200000",
"number": "1013724376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2317 MEMORIAL PKWY SW STE 105",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358010009",
"telephone_number": "938-227-6925",
"fax_number": "938-247-1846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2317 MEMORIAL PKWY SW STE 105",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358010009",
"telephone_number": "938-227-6925",
"fax_number": "938-247-1846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESENIUS MEDICAL CARE MADISON HOME, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC",
"enumeration_date": "2024-12-11",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A",
"authorized_official_last_name": "BLANTON",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "781-699-9000"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Fresenius Kidney Care Metro Huntsville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.