Active NPI
Home Dialysis Therapies, Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Highland, IL
National Provider Identifier
1639655616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ahsan Usman, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Hospitalist Physician
- Belleville, IL
- NPI 1215016571
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.