Organization Active NPI

McHenry Dialysis Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • McHenry, IL
National Provider Identifier
1760749642
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
MCHENRY DIALYSIS CENTER LLC
Practice address
4209 W Shamrock LN
Unit a
McHenry, IL 60050-8700
Phone
(815) 344-8512
Fax
(815) 344-8513
NPI assigned
Apr 18, 2012
Last updated
Jul 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Sara Anne Brady
Title
Chief Nursing Officer
Phone
(208) 371-7878

Specialties & licenses 1

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

Addresses

Primary practice location

4209 W Shamrock LN
Unit a
McHenry, IL 60050-8700

Mailing address

4209 W Shamrock LN
Unit a
McHenry, IL 60050-8700
Phone (815) 344-8512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120424000527 IL Part A Provider - End-Stage Renal Disease Facility (ESRD) 7214199066 Practice locations: McHenry, IL

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Ara - McHenry Dialysis CenterCCN 142737
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Sep 26, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Chain
American Renal Associates
Dialysis stations
13

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory

Locations

4209 W Shamrock Ln
Unit A
McHenry, IL 60050
Phone (815) 344-8512

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1760749642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 W SHAMROCK LN",
            "address_2": "UNIT A",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508700",
            "telephone_number": "815-344-8512",
            "fax_number": "815-344-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 W SHAMROCK LN",
            "address_2": "UNIT A",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508700",
            "telephone_number": "815-344-8512",
            "fax_number": "815-344-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCHENRY DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "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 McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.