PPN Home Dialysis LLC

Primary specialty

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

Legal business name

PPN HOME DIALYSIS LLC

Practice address

2002 Lelaray St
Suite 100
Colorado Springs, CO 80909-2804

Phone

(719) 632-7641

Fax

(719) 632-2925

NPI assigned

Nov 16, 2009

Organization subpart

No

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

Authorized official

Name

Brad H Yuan, MD

Title

Medical Director/Owner

Phone

(719) 632-7641

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1366779191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 LELARAY ST",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092804",
            "telephone_number": "719-632-7641",
            "fax_number": "719-632-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 LELARAY ST",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092804",
            "telephone_number": "719-632-7641",
            "fax_number": "719-632-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPN HOME DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "YUAN",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "719-632-7641",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Powers
• Laura C Powers, OT
• Matthew Austin Powers, MA, LPC
• Sara Marie Powers, COTA/L
• Grace Marie Pozniak, M.S. CCC-SLP
• Ppna ASC LLC
• Ppsoc PLLC
• Practice 32 LLC
• Practice 32 LLC
• Practitioner House Calls LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.