Active NPI
Sapphire Community Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Montgomery, AL
National Provider Identifier
1902313430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- SAPPHIRE COMMUNITY DIALYSIS LLC
- Practice address
- 8149 Decker LN
Montgomery, AL 36117-4255 - Phone
- (302) 290-7408
- NPI assigned
- Jan 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Smith
- Title
- Director
- Phone
- (302) 290-7408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
8149 Decker LN
Montgomery, AL 36117-4255
Mailing address
211 Commerce CT Ste 104
Pottstown, PA 19464-3483
Phone (610) 495-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180306002970 | AL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 4284995374 | Practice locations: Montgomery, AL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735776000000",
"number": "1902313430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 COMMERCE CT STE 104",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194643483",
"telephone_number": "610-495-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8149 DECKER LN",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361174255",
"telephone_number": "302-290-7408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAPPHIRE COMMUNITY DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-05",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "302-290-7408"
},
"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 Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.