Organization Active NPI

Hood Dialysis Services, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Columbus, OH
National Provider Identifier
1669577763
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
OHL40061 Issued in OH
Legal business name
HOOD DIALYSIS SERVICES, LLC
Practice address
2360 Citygate Dr
Columbus, OH 43219-3652
Phone
(614) 235-5361
NPI assigned
Sep 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Melva Hawkins
Title
Member
Phone
(614) 235-5361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X OHL40061 OH Primary

Addresses

Primary practice location

2360 Citygate Dr
Columbus, OH 43219-3652

Mailing address

685 N James Rd
Columbus, OH 43219-1837
Phone (614) 235-5361

Other identifiers 1

IdentifierTypeStateIssuer
2605998MedicaidOH

Other names 1

  • Hood Dialysis Services - Citygate Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669577763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 N JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191837",
            "telephone_number": "614-235-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 CITYGATE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193652",
            "telephone_number": "614-235-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOD DIALYSIS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "MELVA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-235-5361"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OH",
            "license": "OHL40061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2605998",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hood Dialysis Services - Citygate",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.