Organization Active NPI

Community Dialysis Center

Doing business as Center for Dialysis Care, Jefferson

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jefferson, OH
National Provider Identifier
1376630913
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
0330DC Issued in OH
Legal business name
COMMUNITY DIALYSIS CENTER
Doing business as
Center for Dialysis Care, Jefferson
Practice address
222 E Beech St
Jefferson, OH 44047-9490
Phone
(440) 576-7160
Fax
(440) 576-7260
NPI assigned
Oct 6, 2006
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Gayle A Nemecek
Title
Coo
Phone
(216) 658-0458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 0330DC OH Primary

Addresses

Primary practice location

222 E Beech St
Jefferson, OH 44047-9490

Mailing address

18720 Chagrin Blvd
Shaker Heights, OH 44122-4855
Phone (216) 295-7003

Other identifiers 1

IdentifierTypeStateIssuer
20000908MedicaidOH

Other names 1

  • Center for Dialysis Care, Jefferson Doing business as

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Center for Dialysis Care, JeffersonCCN 362564
Overall star rating
2.0 of 5
Ownership
Non-profit
Certified
Sep 23, 1996
Medicare certification status
Terminated Voluntary: merger or closure, May 2, 2026From the Provider of Services file
Chain
Centers for Dialysis Care
Dialysis stations
10

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1376630913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18720 CHAGRIN BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441224855",
            "telephone_number": "216-295-7003",
            "fax_number": "216-295-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E BEECH ST",
            "city": "JEFFERSON",
            "state": "OH",
            "postal_code": "440479490",
            "telephone_number": "440-576-7160",
            "fax_number": "440-576-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DIALYSIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "NEMECEK",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "216-658-0458"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OH",
            "license": "0330DC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20000908",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Dialysis Care, Jefferson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.