Active NPI
Heritage Home Dialysis LLC
Doing business as Heritage Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fenton, MI
National Provider Identifier
1144820226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- HERITAGE HOME DIALYSIS LLC
- Doing business as
- Heritage Dialysis
- Practice address
- 1580 N Leroy St Ste 6
Fenton, MI 48430-2801 - Phone
- (586) 419-4371
- NPI assigned
- Oct 28, 2020
- Last updated
- Dec 30, 2025
- 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
- Ryan Height, RN
- Title
- Ceo/President
- Phone
- (810) 215-1082
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1580 N Leroy St Ste 6
Fenton, MI 48430-2801
Mailing address
1580 N Leroy St Ste 6
Fenton, MI 48430-2801
Phone (810) 215-8225
Other names 1
- Heritage Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210514001696 | MI | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 8527477983 | Practice locations: Fenton, MI |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Heritage Dialysis
- Ownership
- Profit
- Certified
- Aug 31, 2021
- Medicare certification status
- Active
- Dialysis stations
- 1
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider DirectoryLocations
1580 N Leroy St
Ste 6
Fenton, MI 48430
Phone (586) 419-4371
Practitioners & affiliated clinicians
Affiliated clinicians 19
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": "1603843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767052800000",
"number": "1144820226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1580 N LEROY ST STE 6",
"city": "FENTON",
"state": "MI",
"postal_code": "484302801",
"telephone_number": "810-215-8225",
"fax_number": "989-459-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 N LEROY ST STE 6",
"city": "FENTON",
"state": "MI",
"postal_code": "484302801",
"telephone_number": "586-419-4371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE HOME DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-28",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A",
"authorized_official_last_name": "HEIGHT",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "810-215-1082",
"authorized_official_credential": "RN"
},
"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": "Heritage Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Heritage Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.