Organization Active NPI

Affiliated Home Dialysis LLC

Doing business as Affiliated Home Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Elk Grove Village, IL
National Provider Identifier
1396907267
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
AFFILIATED HOME DIALYSIS LLC
Doing business as
Affiliated Home Dialysis
Practice address
1014 Bonaventure Dr
Elk Grove Village, IL 60007-3277
Phone
(309) 698-1811
Fax
(309) 698-1811
NPI assigned
Jul 1, 2008
Last updated
Jul 11, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
AFFILIATED HOME DIALYSIS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Mr. Curt Anliker
Title
Chief Executive Officer
Phone
(630) 942-1111

Specialties & licenses 1

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

Addresses

Primary practice location

1014 Bonaventure Dr
Elk Grove Village, IL 60007-3277

Mailing address

2462 Washington Rd
Washington, IL 61571-1756
Phone (309) 698-1800

Other names 1

  • Affiliated Home Dialysis Doing business as

National Provider Directory

National Provider Directory
Part of
Affiliated Home Dialysis LLC

Locations

1014 Bonaventure Dr
Elk Grove Village, IL 60007
Phone (309) 698-1811

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1396907267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2462 WASHINGTON RD",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615711756",
            "telephone_number": "309-698-1800",
            "fax_number": "309-698-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 BONAVENTURE DR",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073277",
            "telephone_number": "309-698-1811",
            "fax_number": "309-698-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED HOME DIALYSIS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFFILIATED HOME DIALYSIS LLC",
        "enumeration_date": "2008-07-01",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "ANLIKER",
        "authorized_official_first_name": "CURT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "630-942-1111",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "Affiliated Home Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.