Homewood Dialysis Clinic LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

HOMEWOOD DIALYSIS CLINIC LLC

Practice address

2700 N Charles St
Baltimore, MD 21218-4300

Phone

(410) 554-6300

NPI assigned

Jan 12, 2021

Organization subpart

No

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

Authorized official

Name

Brian Finglass

Title

Cfo

Phone

(410) 766-1995

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Homewood Dialysis Clinic LLCCCN 212577

Ownership

Profit

Certified

Aug 15, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

11

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Monika Dhillon, MD

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1487632600

  Dialysis facility

  Care Compare affiliation Name & address match
• Wei X Lu, M.D.

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1477598407

  Dialysis facility

  Care Compare affiliation Name & address match
• Jasmine Niquelle Manley, MD

  • Nephrology Physician
  • Lutherville, MD
  • NPI 1780171090

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1427647635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HWY STE 210",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221075",
            "telephone_number": "410-766-1995",
            "fax_number": "410-505-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184300",
            "telephone_number": "410-554-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEWOOD DIALYSIS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "FINGLASS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-766-1995"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Lucinda Homer, RN
• Homesafe for Seniors LLC
• Homestead Health Services Inc
• Homestead Health Services Inc
• Homestead Health Services Inc.
• David Anthony Hommer, RBT
• Sharareh Honar, DDS
• Erin Honcharuk, M.D.
• Brian Hondorp, MD
• Honest Quest, LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.