Kidney Center Home Therapies LLC

Primary specialty

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

Legal business name

KIDNEY CENTER HOME THERAPIES LLC

Practice address

1201 Grampian Blvd Ste 1B
Williamsport, PA 17701-1965

Phone

(570) 478-5228

Fax

(570) 601-4020

NPI assigned

Jan 31, 2018

Organization subpart

No

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

Authorized official

Name

Chester A Amedia Jr., MD, FACPNPI 1952306995

Title

Managing Partner

Phone

(330) 781-6212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Member of 2

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

• Ncpdc Kidney Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Wellsboro, PA
  • NPI 1528424975

  Member Of

  NPD member
• North Central Pennsylvania Dialysis Clinics LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Montoursville, PA
  • NPI 1114922416

  Member Of

  NPD member

Locations

Practitioners 1

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

• Chester A. Amedia, MD

  • Nephrology Physician
  • Boardman, OH
  • NPI 1952306995
  NPD (past) Authorized official

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1164920567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 MARKET ST STE 100",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122122",
            "telephone_number": "330-781-6212",
            "fax_number": "330-953-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD STE 1B",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011965",
            "telephone_number": "570-478-5228",
            "fax_number": "570-601-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CENTER HOME THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "AMEDIA",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "330-781-6212",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD, FACP"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keystone Omfs PC
• Ayaz M Khan, M.D.
• Ayesha Asghar Khan, D)
• Rafay Khan, DO
• Saadullah Khan, MD
• Kidspeace National Centers Inc
• Valerie R Kieffer
• Lisa Marie Kieser, PA-C
• Cindy A Kiess, REGISTERED NURSE
• Whoon Jong Kil, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Williamsport, PA
• Providers in Williamsport, PA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.