NPIMap

Organization Active NPI

Dialysis Clinic, Inc.

Doing business as DCI-MT. Hope

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Albany, NY
National Provider Identifier
1093362618
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
DIALYSIS CLINIC, INC.
Doing business as
DCI-MT. Hope
Practice address
270 Mount Hope Dr
Albany, NY 12202-1058
Phone
(518) 419-6350
Fax
(518) 419-6349
NPI assigned
Aug 19, 2019
Last updated
Oct 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Mr. Donovan Schultz
Title
President
Phone
(615) 327-3061

Specialties & licenses 1

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

Addresses

Primary practice location

270 Mount Hope Dr
Albany, NY 12202-1058

Mailing address

1850 Peoples Ave
Troy, NY 12180-3607
Phone (518) 271-0702

Other names 1

  • DCI-MT. Hope Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191010000505 NY Part A Provider - End-Stage Renal Disease Facility (ESRD) 4284541129 Practice locations: Albany, NY

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
DCI Mount HopeCCN 332803
Overall star rating
2.0 of 5
Ownership
Profit
Certified
Jan 7, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Chain
Dialysis Clinic, Inc.
Dialysis stations
18

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
33D2171823Dci - Mount Hope270 Mount Hope Drive, Albany, NY 12202Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dialysis Clinic Inc238 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

270 Mount Hope Dr
Albany, NY 12202
Phone (518) 419-6350

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rancho Dialysis ClinicSacramento, CA, CCN 552519 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Dec 24, 2003
Dec 24, 2003

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1093362618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 PEOPLES AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803607",
            "telephone_number": "518-271-0702",
            "fax_number": "518-271-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 MOUNT HOPE DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122021058",
            "telephone_number": "518-419-6350",
            "fax_number": "518-419-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DCI-MT. Hope",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DCI-MT. Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.