Active NPI
Howard University Dialysis Center LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Washington, DC
National Provider Identifier
1245502376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- HOWARD UNIVERSITY DIALYSIS CENTER LLC
- Practice address
- 2041 Georgia Ave NW
Tower Building, Suite 1119B
Washington, DC 20060-0001 - Phone
- (202) 865-7365
- Fax
- (202) 865-7375
- NPI assigned
- Feb 6, 2012
- Last updated
- Jan 11, 2023
- 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
- Sara Anne Brady
- Title
- Chief Nursing Officer
- Phone
- (208) 371-7878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
2041 Georgia Ave NW
Tower Building, Suite 1119B
Washington, DC 20060-0001
Mailing address
2041 Georgia Ave NW
Tower Building, Suite 1119B
Washington, DC 20060-0001
Phone (202) 865-7365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085060800 | Medicaid | DC |
National Provider Directory
National Provider DirectoryLocations
2041 Georgia Ave NW
Ste 1119B
Washington, DC 20060
Phone (202) 865-7365
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Augusta, GA
- NPI 1912984790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673395200000",
"number": "1245502376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 GEORGIA AVE NW",
"address_2": "TOWER BUILDING, SUITE 1119B",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200600001",
"telephone_number": "202-865-7365",
"fax_number": "202-865-7375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 GEORGIA AVE NW",
"address_2": "TOWER BUILDING, SUITE 1119B",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200600001",
"telephone_number": "202-865-7365",
"fax_number": "202-865-7375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOWARD UNIVERSITY DIALYSIS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-06",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A",
"authorized_official_last_name": "BRADY",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "CHIEF NURSING OFFICER",
"authorized_official_telephone_number": "208-371-7878"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "085060800",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
- Howard University (Faculty Practice Plan)
- Howard University
- Howard University (Howard Sports Medicine)
- Howard University College of Dentistry
- Howard University College of Dentisty
- Howard University Faculty Practice Plan
- Howard University Faculty Practice Plan
- Howard University Faculty Practice Plan
- Howard University Faculty Practice Plan
- Howard University Faculty Practice Plan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.