Home Dialysis Services Peoria LLC

Primary specialty

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

Legal business name

HOME DIALYSIS SERVICES PEORIA LLC

Practice address

719 Main St Ste B
Peoria, IL 61602-1084

Phone

(309) 966-0802

Fax

(309) 713-2633

NPI assigned

Jan 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Morufu Alausa, M.D.

Title

Medical Director/Ceo

Phone

(815) 741-6830

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Mohammad Umair Zafar, M.D.

  • Nephrology Physician
  • Bloomington, IL
  • NPI 1568749265
  NPD (past)
• Saadur Rahman, D.O.

  • Nephrology Physician
  • Denton, TX
  • NPI 1710115977
  NPD (past)

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1275922890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3134",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604343134",
            "telephone_number": "815-741-6830",
            "fax_number": "815-741-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 MAIN ST STE B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021084",
            "telephone_number": "309-966-0802",
            "fax_number": "309-713-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME DIALYSIS SERVICES PEORIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "ALAUSA",
        "authorized_official_first_name": "MORUFU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "815-741-6830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie A Holocker, APN
• Anthony Holshouser
• Stephanie Lynn Holt-Dehner, PH.D.
• Home Bound Healthcare, Inc.
• Home Care Personal Services, Inc.
• Amy A Homerin, APRN, CNP
• Barbara Marie Honings
• Quintina Honorable
• Ryan P. Hooker, PT, ATC
• Stephanie Hoover, ST

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Peoria, IL
• Providers in Peoria, IL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.