Organization Active NPI

Hood Dialysis Services, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Marengo, OH
National Provider Identifier
1902901192
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
OHL40176 Issued in OH
Legal business name
HOOD DIALYSIS SERVICES, LLC
Practice address
827 State Route 61
Marengo, OH 43334-9215
Phone
(614) 235-5361
NPI assigned
Sep 13, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Melva Hawkins
Title
Member
Phone
(614) 235-5361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X OHL40176 OH Primary

Addresses

Primary practice location

827 State Route 61
Marengo, OH 43334-9215

Mailing address

685 N James Rd
Columbus, OH 43219-1837
Phone (614) 235-5361

Other identifiers 1

IdentifierTypeStateIssuer
2605998MedicaidOH

Other names 1

  • Hood Dialysis Services - Marengo Other name

National Provider Directory

National Provider Directory

Locations

2360 Citygate Dr
Columbus, OH 43219
Phone (614) 235-5361

827 State Route 61
Marengo, OH 43334
Phone (419) 253-0705

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902901192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 N JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191837",
            "telephone_number": "614-235-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 STATE ROUTE 61",
            "city": "MARENGO",
            "state": "OH",
            "postal_code": "433349215",
            "telephone_number": "614-235-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOD DIALYSIS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "MELVA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-235-5361",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OH",
            "license": "OHL40176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2605998",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hood Dialysis Services - Marengo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marengo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.