East Dearborn Dialysis LLC

Primary specialty

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

Legal business name

EAST DEARBORN DIALYSIS LLC

Practice address

36588 Ford Road
Westland, MI 48185-2210

Phone

(734) 721-1030

Fax

(734) 721-0833

NPI assigned

Apr 4, 2006

Organization subpart

No

Name

Thomas O Usilton Jr.

Title

Group Vice President

Phone

(770) 541-7922

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

• Renal Treatment Centers-Illinois Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bourbonnais, IL
  • NPI 1073675138

  Member Of

  NPD member

• Westland Dialysis Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2007.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1851353072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "STE. 400 L&C",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4218",
            "fax_number": "303-209-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36588 FORD ROAD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852210",
            "telephone_number": "734-721-1030",
            "fax_number": "734-721-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST DEARBORN DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "USILTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "770-541-7922",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4782432",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westland Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• E&G Home Care Service
• Eagle Rehab Corporation
• Eaglets Educational Consulting Firm, LLC
• Rose D Earby
• Lashonda Easley
• Eazy Care Staffing Inc.
• Samantha Anne Eburne, MSW, LLMSE
• Amanda Rae Eder
• Andrea Edgar
• Lisa Eggleston

• All providers in Westland, MI
• 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 Jul 27, 2007; 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.