Organization Active NPI

Nephrology Center of Detroit LLC

Doing business as Wayne County Dialysis Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Detroit, MI
National Provider Identifier
1528294691
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
NEPHROLOGY CENTER OF DETROIT LLC
Doing business as
Wayne County Dialysis Center LLC
Practice address
20001 Livernois Ave Ste 500
Detroit, MI 48221-4123
Phone
(313) 861-0340
Fax
(313) 861-0342
NPI assigned
Jun 3, 2009
Last updated
Jul 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Sara Anne Brady
Title
Chief Nursing Officer
Phone
(208) 371-7878

Specialties & licenses 1

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

Addresses

Primary practice location

20001 Livernois Ave Ste 500
Detroit, MI 48221-4123

Mailing address

20001 Livernois Ave Ste 500
Detroit, MI 48221-4123
Phone (313) 861-0340

Other identifiers 1

IdentifierTypeStateIssuer
1528294691MedicaidMI

Other names 1

  • Wayne County Dialysis Center LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090921000530 MI Part A Provider - End-Stage Renal Disease Facility (ESRD) 3971659715 Practice locations: Detroit, MI

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Wayne County DialysisCCN 232658
Overall star rating
2.0 of 5
Ownership
Profit
Certified
Jul 27, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Chain
American Renal Associates
Dialysis stations
25

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1091917Wayne County Dialysis Center20001 Livernois Ave Ste 500, Detroit, MI 48221Certificate of waiverNov 12, 2026

National Provider Directory

National Provider Directory

Locations

20001 Livernois Ave
Ste 500
Detroit, MI 48221
Phone (313) 861-0340

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1528294691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20001 LIVERNOIS AVE STE 500",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482214123",
            "telephone_number": "313-861-0340",
            "fax_number": "313-861-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20001 LIVERNOIS AVE STE 500",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482214123",
            "telephone_number": "313-861-0340",
            "fax_number": "313-861-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY CENTER OF DETROIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528294691",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne County Dialysis Center LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wayne County Dialysis Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.