Birch Dialysis LLC

Primary specialty

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

Legal business name

BIRCH DIALYSIS LLC

Doing business as

Center Ridge Dialysis

Practice address

38630 Center Ridge Rd
North Ridgeville, OH 44039-2837

Phone

(440) 327-2070

Fax

(440) 327-1563

NPI assigned

Mar 9, 2011

Last updated

Jan 13, 2025By 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

Samuel Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Center Ridge Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Birch Dialysis LLC

  dba Hilliard Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rocky River, OH
  • NPI 1801192018

  5193909687

  Same PAC ID
• Birch Dialysis LLC

  dba Parma Heights Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Parma Heights, OH
  • NPI 1902102114

  5193909687

  Same PAC ID

Listed as

DaVita Center Ridge DialysisCCN 362776

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Jan 5, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

14

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Birch Dialysis LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Peritoneal Dialysis, LLC

  dba Advanced Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rocky River, OH
  • NPI 1992854186
  NPD tax ID
• Birch Dialysis LLC

  dba Hilliard Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rocky River, OH
  • NPI 1801192018
  NPD tax ID
• Birch Dialysis LLC

  dba Parma Heights Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Parma Heights, OH
  • NPI 1902102114
  NPD tax ID

Member of 1

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

• Total Renal Care Inc

  dba Cerritos Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cerritos, CA
  • NPI 1255681011

  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.

• Hany S.Y. Anton, M.D.

  • Nephrology Physician
  • Pompano Beach, FL
  • NPI 1164402657
  NPD (past)

Affiliated clinicians 2

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

• Wassim A El-Hitti, M.D.

  • Nephrology Physician
  • Westlake, OH
  • NPI 1669441580

  Dialysis facility

  Care Compare affiliation Name & address match
• Adedeji Oluwatosin Sodeinde, M.D.

  • Nephrology Physician
  • Elyria, OH
  • NPI 1982047205

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1881992238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38630 CENTER RIDGE RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392837",
            "telephone_number": "440-327-2070",
            "fax_number": "440-327-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062437",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Ridge Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center Ridge Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in North Ridgeville, OH
• Providers in North Ridgeville, 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 Jan 13, 2025; 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.