Organization Active NPI

Home Dialysis Therapies, Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Highland, IL
National Provider Identifier
1639655616
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
HOME DIALYSIS THERAPIES, INC
Practice address
100 Faith Dr
Highland, IL 62249-2638
Phone
(309) 642-6705
Fax
(309) 347-2623
NPI assigned
Jul 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Dr. Ahsan Usman, MDNPI 1215016571
Title
Ceo
Phone
(314) 560-9648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

100 Faith Dr
Highland, IL 62249-2638

Mailing address

100 Faith Dr
Highland, IL 62249-2638
Phone (309) 642-6705

National Provider Directory

National Provider Directory

Locations

226 W Main St
Havana, IL 62644
Phone (309) 220-8070

216 W Main St
Havana, IL 62644
Phone (309) 642-6705

Practitioners & affiliated clinicians

Practitioners 1

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": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1639655616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FAITH DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622492638",
            "telephone_number": "309-642-6705",
            "fax_number": "309-347-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FAITH DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622492638",
            "telephone_number": "309-642-6705",
            "fax_number": "309-347-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME DIALYSIS THERAPIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "USMAN",
        "authorized_official_first_name": "AHSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-560-9648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.