Active NPI
Center for Dialysis Care Westside Home Care LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fairview Park, OH
National Provider Identifier
1912437765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- CENTER FOR DIALYSIS CARE WESTSIDE HOME CARE LLC
- Practice address
- 20790 Lorain Rd
Fairview Park, OH 44126-2019 - Phone
- (440) 333-2632
- Fax
- (440) 333-2670
- NPI assigned
- Jun 14, 2017
- 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
- Gayle A Nemecek
- Title
- Coo
- Phone
- (216) 658-0458
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
20790 Lorain Rd
Fairview Park, OH 44126-2019
Mailing address
18720 Chagrin Blvd
Shaker Heights, OH 44122-4855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0321954 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180511002319 | OH | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 1951665264 | Practice locations: Fairview Park, OH |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Center for Dialysis Care Westside Home Care LLC
- Overall star rating
- Ownership
- Profit
- Certified
- Jul 26, 2018
- Medicare certification status
- Active
- Chain
- Centers for Dialysis Care
- Dialysis stations
- 12
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Painesville, OH
- NPI 1770882599
Member Of
Locations
24651 Center Ridge Rd
Ste 45
Westlake, OH 44145
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1699089631
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740960000000",
"number": "1912437765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18720 CHAGRIN BLVD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441224855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20790 LORAIN RD",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441262019",
"telephone_number": "440-333-2632",
"fax_number": "440-333-2670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR DIALYSIS CARE WESTSIDE HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-14",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A",
"authorized_official_last_name": "NEMECEK",
"authorized_official_first_name": "GAYLE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "216-658-0458"
},
"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": "0321954",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairview Park, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.