Organization Active NPI

Ara-Providence Dialysis LLC

Doing business as Dialysis Center of Providence

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Providence, RI
National Provider Identifier
1376654921
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ARA-PROVIDENCE DIALYSIS LLC
Doing business as
Dialysis Center of Providence
Practice address
9 Plenty St
Providence, RI 02907-1418
Phone
(401) 273-4898
Fax
(401) 273-4876
NPI assigned
Aug 31, 2006
Last updated
May 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

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

Addresses

Primary practice location

9 Plenty St
Providence, RI 02907-1418

Mailing address

9 Plenty St
Providence, RI 02907-1418
Phone (401) 273-4898

Other identifiers 1

IdentifierTypeStateIssuer
PD50963MedicaidRI

Other names 1

  • Dialysis Center of Providence Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030904000011 RI Part A Provider - End-Stage Renal Disease Facility (ESRD) 3476464728 Practice locations: Providence, RI

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Dialysis Center of ProvidenceCCN 412510
Overall star rating
2.0 of 5
Ownership
Profit
Certified
Aug 13, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Chain
American Renal Associates
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
41D0958605Ara-Providence Dialysis LLC9 Plenty Street, Providence, RI 02907Certificate of waiverMar 22, 2027

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1376654921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PLENTY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071418",
            "telephone_number": "401-273-4898",
            "fax_number": "401-273-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PLENTY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071418",
            "telephone_number": "401-273-4898",
            "fax_number": "401-273-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARA-PROVIDENCE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "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": "PD50963",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dialysis Center of Providence",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dialysis Center of Providence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.