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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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, 2016
- Organization subpart
- Yes
- Parent organization
- AFFILIATED HOME DIALYSIS LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Washington, IL
- NPI 1750423869
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.