Renal Treatment Centers - Mid-Atlantic, Inc.

Primary specialty

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

Legal business name

RENAL TREATMENT CENTERS - MID-ATLANTIC, INC.

Practice address

3000 N Ridge Rd Ste a
Ellicott City, MD 21043-3311

Phone

(410) 465-0273

NPI assigned

May 10, 2019

Organization subpart

No

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

Authorized official

Name

John Winstel

Title

Chief Accounting Officer, Treasurer

Phone

(253) 733-4501

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ellicott Kidney Dialysis Doing business as

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1538725965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L & C DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N RIDGE RD STE A",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433311",
            "telephone_number": "410-465-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL TREATMENT CENTERS - MID-ATLANTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER, TREASURER",
        "authorized_official_telephone_number": "253-733-4501"
    },
    "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": "206033700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellicott Kidney Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellicott Kidney Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise M Reid-Dubose, SPEECH PATHOLOGIST
• Kendra Davis Reines, CCC-SLP
• Joni Reiss, L.AC.
• Brenda Reiter, LCSW-C
• Thomas James Remsberg, PHARMD
• Renal Treatment Centers Mid Atlantic Inc
• Renaye James Healthcare Advisors, LLC
• Desire Renggli
• Patti Lynn Renko, MSW, LCSW-C
• Restorative Counseling and Wellness Center LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ellicott City, MD
• Providers in Ellicott City, 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 Apr 27, 2021; 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.