NPIMap

Organization Active NPI

Kidney Home, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bear, DE
National Provider Identifier
1528313285
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
KIDNEY HOME, LLC
Practice address
101 Becks Woods Dr
Suite 102
Bear, DE 19701-3854
Phone
(302) 355-2383
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Manish Garg
Title
President
Phone
(302) 355-2383

Specialties & licenses 1

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

Addresses

Primary practice location

101 Becks Woods Dr
Suite 102
Bear, DE 19701-3854

Mailing address

2006 Limestone Rd
Suite 7
Wilmington, DE 19808-5553
Phone (302) 355-2383

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1528313285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 LIMESTONE RD",
            "address_2": "SUITE 7",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085553",
            "telephone_number": "302-355-2383",
            "fax_number": "302-351-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BECKS WOODS DR",
            "address_2": "SUITE 102",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013854",
            "telephone_number": "302-355-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-355-2383"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.