Active NPI
American Home Dialysis, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Louisville, KY
National Provider Identifier
1154638013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 300225
- Legal business name
- AMERICAN HOME DIALYSIS, LLC
- Practice address
- 234 E Gray St
Suite 858
Louisville, KY 40202-1927 - Phone
- (513) 673-5245
- Fax
- (866) 352-4339
- NPI assigned
- Sep 13, 2010
- 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
- Dr. Jai P Bhimani, MD
- Title
- Medical Director
- Phone
- (502) 523-4535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 300225 | KY | Primary |
Addresses
Primary practice location
234 E Gray St
Suite 858
Louisville, KY 40202-1927
Mailing address
234 E Gray St
Suite 858
Louisville, KY 40202-1927
Phone (513) 673-5245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101102000111 | KY | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 3678767860 | Practice locations: Louisville, KY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Louisville, KY
- NPI 1699754655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343692800000",
"number": "1154638013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 E GRAY ST",
"address_2": "SUITE 858",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021927",
"telephone_number": "513-673-5245",
"fax_number": "866-352-4339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 E GRAY ST",
"address_2": "SUITE 858",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021927",
"telephone_number": "513-673-5245",
"fax_number": "866-352-4339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN HOME DIALYSIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-13",
"last_updated": "2012-07-31",
"status": "A",
"authorized_official_last_name": "BHIMANI",
"authorized_official_first_name": "JAI",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "502-523-4535",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "KY",
"license": "300225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
- American Current Care, P.a.
- American Current Care, P.a.
- American Diagnostics Services LLC
- American Health Management, Inc.
- American Health Network of Kentucky, LLC
- American Kidney Center- Browns Lane
- American Kidney Center- Greenwood Rd LLC
- American Mobility Products, LLC
- American Oncology Partners, P.a.
- American Portable Medical Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.