Organization Active NPI

American Home Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Louisville, KY
National Provider Identifier
1154638013
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
300225 Issued in KY
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

Updated by the provider on Jul 31, 2012

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20101102000111 KY Part A Provider - End-Stage Renal Disease Facility (ESRD) 3678767860 Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.