Saint Marina Home Dialysis LLC

Primary specialty

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

Legal business name

SAINT MARINA HOME DIALYSIS LLC

Practice address

26711 Northwestern Hwy Ste 125
Southfield, MI 48033-2170

Phone

(248) 535-5685

NPI assigned

Nov 5, 2020

Last updated

Nov 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Jwad

Title

Owner

Phone

(248) 535-5685

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1801497961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26711 NORTHWESTERN HWY STE 125",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26711 NORTHWESTERN HWY STE 125",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332170",
            "telephone_number": "248-535-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARINA HOME DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "JWAD",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-535-5685"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ardeshir E Said, MD
• Gayle Sain
• Raghav Saini, M.D.
• Saint Joseph Clinic PC
• Saint Joseph Clinic PC
• Sasha Logan Saint-Johnson, LLMFT
• Emily Ann Sajor, MSW
• Reshad Salam
• Camelia Loredana Salanta, M.D.
• Genie Salazar

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.