Active NPI
Glarus Dialysis, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Toledo, OH
National Provider Identifier
1023591237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- GLARUS DIALYSIS, LLC
- Practice address
- 403 E Broadway St
Toledo, OH 43605-2354 - Phone
- (419) 691-3227
- Fax
- (419) 691-3185
- NPI assigned
- Sep 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Wey
- Title
- VP Licensure & Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
403 E Broadway St
Toledo, OH 43605-2354
Mailing address
5200 Virginia Way
Att: L&C Department
Brentwood, TN 37027-7569
Other names 1
- Starr Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190401000876 | OH | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 6406197425 | Practice locations: Toledo, OH |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Starr Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- May 29, 2019
- Medicare certification status
- Active
- Chain
- DaVita
- 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2157342 | Starr Dialysis | Certificate of waiver | Nov 4, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockfrd, IL
- NPI 1154997591
Member Of
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1536796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719360000000",
"number": "1023591237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "ATT: L&C DEPARTMENT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 E BROADWAY ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436052354",
"telephone_number": "419-691-3227",
"fax_number": "419-691-3185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLARUS DIALYSIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-13",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAMUEL",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Starr Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Starr Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.