Suburban Home Dialysis, LLC

Primary specialty

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

Legal business name

SUBURBAN HOME DIALYSIS, LLC

Doing business as

Suburban Home Dialysis

Practice address

20050 Harvard Ave
Warrensville Heights, OH 44122-6816

Phone

(216) 491-0600

Fax

(216) 491-0606

NPI assigned

May 23, 2006

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Barry L. Blanton

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• SUBURBAN HOME DIALYSIS Doing business as

Electronic endpoints 1

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Ohio Renal Care Group, LLC

  dba Fresenius Medical Care Wadsworth

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Wadsworth, OH
  • NPI 1962656470

  Member Of

  NPD member
• RCG University Division, Inc.

  dba Renal Care Group Lexington South

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lexington, KY
  • NPI 1891807616

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert J Heyka, MD

  • Nephrology Physician
  • Cleveland, OH
  • NPI 1316037492
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697241600000",
    "number": "1700831625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20050 HARVARD AVE",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226816",
            "telephone_number": "216-491-0600",
            "fax_number": "216-491-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20050 HARVARD AVE",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226816",
            "telephone_number": "216-491-0600",
            "fax_number": "216-491-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN HOME DIALYSIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-10-14",
        "certification_date": "2023-10-14",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SUBURBAN HOME DIALYSIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Moresha Stevenson-Bey
• Christina Lynn Stewart, RN, BSN
• William Stewart
• Rebecca Jean Stone, DO
• Brandon Styers, PA
• Suburban Neurodiagnostic Services
• Samica Summers
• Michael Blake Suponcic
• Megan Marie Swaney, OTR
• Maria Luz Tabbakh, M.S.N., C.N.S-BC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Warrensville Heights, OH
• Providers in Warrensville Heights, 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 Oct 14, 2023; 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.