Organization Active NPI

Affiliated Dialysis of Ohio LLC

Doing business as Affiliated Dialysis of Ohio

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Beachwood, OH
National Provider Identifier
1114300266
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
AFFILIATED DIALYSIS OF OHIO LLC
Doing business as
Affiliated Dialysis of Ohio
Practice address
3619 Park East Dr
Ste 110-South
Beachwood, OH 44122-4330
Phone
(216) 896-0639
Fax
(216) 896-0663
NPI assigned
Jul 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Curt Anliker
Title
Manager
Phone
(630) 942-1111

Specialties & licenses 1

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

Addresses

Primary practice location

3619 Park East Dr
Ste 110-South
Beachwood, OH 44122-4330

Mailing address

800 Roosevelt Rd
Ste E-320
Glen Ellyn, IL 60137-5839
Phone (630) 942-1111

Other names 1

  • Affiliated Dialysis of Ohio Doing business as

National Provider Directory

National Provider Directory

Locations

800 Roosevelt Rd
Ste E320
Glen Ellyn, IL 60137
Phone (630) 942-1111

3619 Park East Dr
#110S
Beachwood, OH 44122
Phone (216) 896-0639

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1114300266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD",
            "address_2": "STE E-320",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375839",
            "telephone_number": "630-942-1111",
            "fax_number": "630-942-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 PARK EAST DR",
            "address_2": "STE 110-SOUTH",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224330",
            "telephone_number": "216-896-0639",
            "fax_number": "216-896-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED DIALYSIS OF OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "ANLIKER",
        "authorized_official_first_name": "CURT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-942-1111"
    },
    "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": "Affiliated Dialysis of Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.