Garrett Dialysis LLC

Primary specialty

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

Legal business name

GARRETT DIALYSIS LLC

Practice address

20790 Lorain Road
Fairview Park, OH 44126-0000

Phone

(615) 341-6311

NPI assigned

Aug 29, 2014

Organization subpart

No

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

Authorized official

Name

James K Hilger

Title

Chief Accounting Officer

Phone

(253) 280-9501

Specialties & licenses 1

Addresses

Other names 1

• Shoreline Dialysis Doing business as

Tax ID family

Davita Kidney Center of Brunswick3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Garrett Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cleveland, OH
  • NPI 1407256092
  NPD tax ID
• Garrett Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brunswick, OH
  • NPI 1598006959
  NPD tax ID

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1508266289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20790 LORAIN ROAD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441260000",
            "telephone_number": "615-341-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-280-9501"
    },
    "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": "Shoreline Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tonika Velisha Frazier
• Kristina Beth Gadomski
• Eunice Milagros Garcia, LPN
• Katherine Garcia, FNP-C
• Garnett Health Campus, LLC.
• Ann Elizabeth Gaspar, RN
• Jeffrey Gedeon
• Earl Thomas Gentile
• Dahn Sheri Gibson
• Atana Gilbert, LSW

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.