NPIMap

Organization Active NPI

Fresenius Medical Care Boone County, LLC

Doing business as Fresenius Medical Care Edgewood

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Crestview Hills, KY
National Provider Identifier
1285001594
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
FRESENIUS MEDICAL CARE BOONE COUNTY, LLC
Doing business as
Fresenius Medical Care Edgewood
Practice address
210 Thomas More Pkwy Ste 1
Crestview Hills, KY 41017-3429
Phone
(859) 331-0167
Fax
(859) 331-1222
NPI assigned
Aug 24, 2015
Last updated
Aug 12, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Barry L. Blanton
Title
Vice President
Phone
(781) 699-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

210 Thomas More Pkwy Ste 1
Crestview Hills, KY 41017-3429

Mailing address

210 Thomas More Pkwy Ste 1
Crestview Hills, KY 41017-3429
Phone (859) 331-0167

Other names 1

  • FRESENIUS MEDICAL CARE EDGEWOOD Doing business as

National Provider Directory

National Provider Directory

Member of 2

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

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1285001594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 THOMAS MORE PKWY STE 1",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173429",
            "telephone_number": "859-331-0167",
            "fax_number": "859-331-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 THOMAS MORE PKWY STE 1",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173429",
            "telephone_number": "859-331-0167",
            "fax_number": "859-331-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE BOONE COUNTY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2015-08-24",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRESENIUS MEDICAL CARE EDGEWOOD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crestview Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.