Organization Active NPI

Baltimore County Lutherville Dialysis, LLC

Doing business as Fresenius Kidney Care Lutheran Greenspring Drive

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lutherville Timonium, MD
National Provider Identifier
1376904391
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
BALTIMORE COUNTY LUTHERVILLE DIALYSIS, LLC
Doing business as
Fresenius Kidney Care Lutheran Greenspring Drive
Practice address
1940 Greenspring Dr Ste a
Lutherville Timonium, MD 21093-4148
Phone
(410) 252-2140
Fax
(410) 252-2164
NPI assigned
Mar 18, 2016
Organization subpart
Yes
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Barry L. Blanton
Title
Vice President
Phone
(781) 699-9000

Specialties & licenses 1

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

Addresses

Primary practice location

1940 Greenspring Dr Ste a
Lutherville Timonium, MD 21093-4148

Mailing address

1940 Greenspring Dr Ste a
Lutherville Timonium, MD 21093-4148
Phone (410) 252-2140

Other names 1

  • FRESENIUS KIDNEY CARE LUTHERAN GREENSPRING DRIVE Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1940 Greenspring Dr
Ste A
Lutherville Timonium, MD 21093
Phone (410) 252-2140

1940 Greenspring Dr
Lutherville Timonium, MD 21093
Phone (410) 252-2140

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1376904391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 GREENSPRING DR STE A",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210934148",
            "telephone_number": "410-252-2140",
            "fax_number": "410-252-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 GREENSPRING DR STE A",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210934148",
            "telephone_number": "410-252-2140",
            "fax_number": "410-252-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE COUNTY LUTHERVILLE DIALYSIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2016-03-18",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRESENIUS KIDNEY CARE LUTHERAN GREENSPRING DRIVE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutherville Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.