Organization Active NPI

Blanchard Valley Dialysis Services, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Findlay, OH
National Provider Identifier
1366500084
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
BLANCHARD VALLEY DIALYSIS SERVICES, LLC
Practice address
1717 Medical Blvd Ste C
Findlay, OH 45840-1381
Phone
(419) 420-1633
Fax
(419) 420-1663
NPI assigned
Dec 5, 2006
Organization subpart
Yes
Parent organization
U.S. RENAL CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Thomas L. Weinberg
Title
Chairman
Phone
(214) 736-2730

Specialties & licenses 1

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

Addresses

Primary practice location

1717 Medical Blvd Ste C
Findlay, OH 45840-1381

Mailing address

1 World Trade Ctr
Ste 2500
Long Beach, CA 90831-0002
Phone (562) 495-8075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061220000081 OH Part A Provider - End-Stage Renal Disease Facility (ESRD) 8022017037 Practice locations: Findlay, OH

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Usrc Blanchard ValleyCCN 362696
Overall star rating
2.0 of 5
Ownership
Profit
Certified
Apr 1, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Chain
US Renal Care, Inc.
Dialysis stations
21

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1065995Blanchard Valley Dialysis Services LLC1717 Medical Blvd Suite C, Findlay, OH 45840Certificate of waiverMar 12, 2027

National Provider Directory

National Provider Directory
Part of
US Renal Care Inc

Locations

1717 Medical Blvd
Ste C
Findlay, OH 45840
Phone (419) 420-1633

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDCCD

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1366500084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WORLD TRADE CTR",
            "address_2": "STE 2500",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908310002",
            "telephone_number": "562-495-8075",
            "fax_number": "562-495-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 MEDICAL BLVD STE C",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401381",
            "telephone_number": "419-420-1633",
            "fax_number": "419-420-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANCHARD VALLEY DIALYSIS SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "214-736-2730"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.