NPIMap

Organization Active NPI

Premier Home Dialysis Services

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Glendale, AZ
National Provider Identifier
1437613916
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
PREMIER HOME DIALYSIS SERVICES
Practice address
20118 N 67TH Ave Ste 300-527
Glendale, AZ 85308-4621
Phone
(602) 448-5411
NPI assigned
Jan 29, 2019
Last updated
Jan 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Authorized official

Name
Mr. Stephen Erik Thompson, EMT/CPR/FF I&II
Title
Founder/Ceo
Phone
(602) 448-5411

Specialties & licenses 1

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

Addresses

Primary practice location

20118 N 67TH Ave Ste 300-527
Glendale, AZ 85308-4621

Mailing address

20118 N 67TH Ave Ste 300-527
Glendale, AZ 85308-4621
Phone (602) 448-5411

National Provider Directory

National Provider Directory

Locations

20118 N 67th Ave
Ste 300527
Glendale, AZ 85308
Phone (602) 448-5411

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1437613916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20118 N 67TH AVE STE 300-527",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084621",
            "telephone_number": "602-448-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20118 N 67TH AVE STE 300-527",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084621",
            "telephone_number": "602-448-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME DIALYSIS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ERIK",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "602-448-5411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT/CPR/FF I&II"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.