Usrc Kent, LLC

Primary specialty

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

Legal business name

USRC KENT, LLC

Practice address

1720 E Main St
Kent, OH 44240-2850

Phone

(330) 346-0467

Fax

(330) 346-0472

NPI assigned

Jul 21, 2016

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INCAs reported in NPPES

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

Authorized official

Name

Thomas L. Weinberg

Title

Authorized Official

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Kent Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

USRC Kent DialysisCCN 362853

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Feb 9, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

13

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

CLIA laboratory certificates

Part of

US Renal Care Inc

Locations

Affiliated clinicians 2

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

• Datinder Bir Singh Deo, MD

  • Nephrology Physician
  • Cuyahoga Falls, OH
  • NPI 1952422917

  Dialysis facility

  Care Compare affiliation Name & address match
• Rajat Maheshwari, M.D.

  • Nephrology Physician
  • Cuyahoga Falls, OH
  • NPI 1346479458

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1639522949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842688",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752842688",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E MAIN ST",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402850",
            "telephone_number": "330-346-0467",
            "fax_number": "330-346-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC KENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "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": "U.S. Renal Care Kent Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tatiana Tynes
• David M Uhall, M.D.
• Aubree Uhler
• United Podiatry Inc
• University Chiropractic and Wellness
• Christina Vaclav
• Phyllis Ann Vair, M.ED., LPC
• Montavia Vanburen
• Melinda Vanderhoof
• Kathy Lyn Vandoros, LSW

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kent, OH
• Providers in Kent, 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 Jul 21, 2016; 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.