Organization Active NPI

Santee Dialysis LLC

Doing business as Elkhart Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Elkhart, IN
National Provider Identifier
1548681984
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SANTEE DIALYSIS LLC
Doing business as
Elkhart Dialysis
Practice address
1401 N Michigan St Ste 100
Elkhart, IN 46514-2633
Phone
(615) 341-6657
Fax
(866) 651-9495
NPI assigned
Jan 3, 2014
Last updated
May 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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) 733-4500

Specialties & licenses 1

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

Addresses

Primary practice location

1401 N Michigan St Ste 100
Elkhart, IN 46514-2633

Mailing address

5200 Virginia Way
Licensure & Certification
Brentwood, TN 37027-7569
Phone (615) 341-6657

Other names 1

  • Elkhart Dialysis Doing business as

National Provider Directory

National Provider Directory

Locations

1401 N Michigan St
Ste 100
Elkhart, IN 46514
Phone (615) 341-6657

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1548681984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "LICENSURE & CERTIFICATION",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-6657",
            "fax_number": "866-651-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N MICHIGAN ST STE 100",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142633",
            "telephone_number": "615-341-6657",
            "fax_number": "866-651-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTEE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-05-22",
        "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": "253-733-4500"
    },
    "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": "Elkhart Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.