Organization Active NPI

Affiliated Home Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Washington, IL
National Provider Identifier
1750423869
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
AFFILIATED HOME DIALYSIS LLC
Practice address
2462 Washington Rd
Washington, IL 61571-1756
Phone
(309) 698-1800
Fax
(309) 698-1811
NPI assigned
Feb 13, 2007
Last updated
Jul 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Mr. Curt D. Anliker
Title
Member
Phone
(630) 690-4642

Specialties & licenses 1

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

Addresses

Primary practice location

2462 Washington Rd
Washington, IL 61571-1756

Mailing address

2462 Washington Rd
Washington, IL 61571-1756
Phone (309) 698-1800

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1750423869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2462 WASHINGTON RD",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615711756",
            "telephone_number": "309-698-1800",
            "fax_number": "309-698-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2462 WASHINGTON RD",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615711756",
            "telephone_number": "309-698-1800",
            "fax_number": "309-698-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED HOME DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "ANLIKER",
        "authorized_official_first_name": "CURT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "630-690-4642",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.