Fresenius Medical Care Southern Maryland Home, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

FRESENIUS MEDICAL CARE SOUTHERN MARYLAND HOME, LLC

Doing business as

FMC Dialysis Services Waldorf

Practice address

3510 Old Washington Rd Ste 300
Waldorf, MD 20602-3236

Phone

(301) 870-0220

Fax

(301) 870-6710

NPI assigned

Apr 12, 2019

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Denise Wright

Title

Vice President

Phone

(781) 676-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FMC DIALYSIS SERVICES WALDORF Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Fresenius Medical Care Southern Maryland Home, LLC

  dba Fresenius Kidney Care Southern Maryland Home

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mechanicsville, MD
  • NPI 1588142814

  3072857804

  Same PAC ID
• Fresenius Medical Care Southern Maryland Home, LLC

  dba Bma Laplata

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • La Plata, MD
  • NPI 1861955213

  3072857804

  Same PAC ID

Tax ID family

Ability Network3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Fresenius Medical Care Southern Maryland Home, LLC

  dba Fresenius Kidney Care Southern Maryland Home

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mechanicsville, MD
  • NPI 1588142814
  NPD tax ID
• Fresenius Medical Care Southern Maryland Home, LLC

  dba Bma Laplata

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • La Plata, MD
  • NPI 1861955213
  NPD tax ID

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Bio-Medical Applications of Maryland, Inc.

  dba FMC Dialysis Services Prince Georges County

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hyattsville, MD
  • NPI 1336243104

  Member Of

  NPD member
• National Medical Care, Inc.

  dba Fresenius Medical Care Bristol

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bristol, TN
  • NPI 1477570117

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1144783598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 OLD WASHINGTON RD STE 300",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023236",
            "telephone_number": "301-870-0220",
            "fax_number": "301-870-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 OLD WASHINGTON RD STE 300",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023236",
            "telephone_number": "301-870-0220",
            "fax_number": "301-870-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE SOUTHERN MARYLAND HOME, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2019-04-12",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-676-5200"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460022302",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FMC DIALYSIS SERVICES WALDORF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Free Baltimore, LLC (Wholistic Behavioral Health)
• Free State Podiatry
• Alexis Nicole Freeman, RN, IBCLC
• Horace Ainsley Freeman, DDS
• Fresenius Medical Care Charles County, LLC (Fresenius Kidney Care Waldorf West)
• Nji Julius Fru
• Tanya Lynnette Fulton, SLP
• Aryielle Funderburk
• Maribel Furtado, THERAPIST
• Tammy Fusilier, CRNP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Waldorf, MD
• Providers in Waldorf, MD by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.