Organization Active NPI

The Center for Dialysis Care at Heather Hill

Doing business as Center for Dialysis Care, Heather Hill

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chardon, OH
National Provider Identifier
1154418721
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
0488DC Issued in OH
Legal business name
THE CENTER FOR DIALYSIS CARE AT HEATHER HILL
Doing business as
Center for Dialysis Care, Heather Hill
Practice address
12340 Bass Lake Rd
Chardon, OH 44024-8327
Phone
(440) 286-4103
Fax
(440) 286-4823
NPI assigned
Oct 6, 2006
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Gayle A Nemecek
Title
Coo
Phone
(216) 658-0458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 0488DC OH Primary

Addresses

Primary practice location

12340 Bass Lake Rd
Chardon, OH 44024-8327

Mailing address

18720 Chagrin Blvd
Shaker Heights, OH 44122-4855
Phone (216) 295-7003

Other identifiers 1

IdentifierTypeStateIssuer
2143639MedicaidOH

Other names 1

  • Center for Dialysis Care, Heather Hill Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080509000104 OH Part A Provider - End-Stage Renal Disease Facility (ESRD) 5698854008 Practice locations: Chardon, OH

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Center for Dialysis Care at Heather HillCCN 362603
Overall star rating
2.0 of 5
Ownership
Non-profit
Certified
Jan 1, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Chain
Centers for Dialysis Care
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 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
36D0951404Center for Dialysis Care at12340 Bass Lake Road, Chardon, OH 44024Certificate of waiverSep 16, 2026

National Provider Directory

National Provider Directory

Member of 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1154418721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18720 CHAGRIN BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441224855",
            "telephone_number": "216-295-7003",
            "fax_number": "216-295-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 BASS LAKE RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440248327",
            "telephone_number": "440-286-4103",
            "fax_number": "440-286-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR DIALYSIS CARE AT HEATHER HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "NEMECEK",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "216-658-0458"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OH",
            "license": "0488DC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2143639",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Dialysis Care, Heather Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chardon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.