Ara-Hazleton LLC

Primary specialty

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

Legal business name

ARA-HAZLETON LLC

Doing business as

The Kidney Center of Greater Hazleton

Practice address

426 Airport Rd
2 Beltway Commons
Hazle Township, PA 18202-3361

Phone

(570) 450-0870

Fax

(570) 450-0874

NPI assigned

Jun 14, 2006

Last updated

May 14, 2026By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• The Kidney Center of Greater Hazleton Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Innovative Renal Care Greater HazletonCCN 392688

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Aug 13, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Chain

American Renal Associates

Dialysis stations

21

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Vincent J Bobby, DO

  • Nephrology Physician
  • Hazle Township, PA
  • NPI 1811962780
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Vincent J Bobby, DO

  • Nephrology Physician
  • Hazle Township, PA
  • NPI 1811962780

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1336182740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 AIRPORT RD",
            "address_2": "2 BELTWAY COMMONS",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182023361",
            "telephone_number": "570-450-0870",
            "fax_number": "570-450-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 AIRPORT RD",
            "address_2": "2 BELTWAY COMMONS",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182023361",
            "telephone_number": "570-450-0870",
            "fax_number": "570-450-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARA-HAZLETON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018662430001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Kidney Center of Greater Hazleton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Marie Addesa, MSN, CRNP, FNP-C
• Justin Joseph Agustini, LAT
• Ann Andrasovich, MD
• Astute Diagnostics LLC
• Joshua Balliet, OTR/L
• Alexis Barker, PA-C
• Laura E Barna, MD
• Emilee Barrett, PA-C

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hazle Township, PA
• Providers in Hazle Township, 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 May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.