Home Dialysis of Maryland LLC

Primary specialty

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

Legal business name

HOME DIALYSIS OF MARYLAND LLC

Practice address

1531 S Edgewood St
Suite 302
Halethorpe, MD 21227-1066

Phone

(410) 458-5854

NPI assigned

Jul 19, 2013

Last updated

Aug 8, 2014By 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

Don Waite

Title

Managing Member

Phone

(410) 458-5854

Specialties & licenses 1

Addresses

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.

• Kelly L Miller, M.D.

  • Interventional Cardiology Physician
  • Glen Burnie, MD
  • NPI 1205897287
  NPD (past)

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1891137808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 S EDGEWOOD ST",
            "address_2": "SUITE 302",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212271066",
            "telephone_number": "410-458-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 S EDGEWOOD ST",
            "address_2": "SUITE 302",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212271066",
            "telephone_number": "410-458-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME DIALYSIS OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-19",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "410-458-5854"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Kumolalo
• Helenas Place, LLC
• David A Hexter, MD
• Edna Ruth Hill, MD
• Nazaree Hines-Starr, PHARMD, RPH.
• James L Huang, MD
• I'M Still Standing Community Development Corporation
• Iatry Mental Health and Wellness LLC
• Ideal Pain Management, LLC
• Samir Jain, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Halethorpe, MD
• Providers in Halethorpe, MD by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.