Organization Active NPI

Center for Dialysis Care Beachwood Home Care LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Beachwood, OH
National Provider Identifier
1982242954
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
CENTER FOR DIALYSIS CARE BEACHWOOD HOME CARE LLC
Practice address
3755 Orange PL Ste 103
Beachwood, OH 44122-4455
Phone
(216) 591-0923
Fax
(216) 591-0973
NPI assigned
Dec 20, 2019
Organization subpart
Yes
Parent organization
CENTER FOR DIALYSIS CARE HOME CARE, LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Addresses

Primary practice location

3755 Orange PL Ste 103
Beachwood, OH 44122-4455

Mailing address

18720 Chagrin Blvd
Shaker Heights, OH 44122-4855
Phone (216) 658-0458

Other identifiers 1

IdentifierTypeStateIssuer
0406132MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200417002800 OH Part A Provider - End-Stage Renal Disease Facility (ESRD) 8426488206 Practice locations: Beachwood, OH

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Center for Dialysis Care Beachwood Home Care LLCCCN 362895
Overall star rating
3.0 of 5
Ownership
Profit
Certified
May 6, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Chain
Centers for Dialysis Care
Dialysis stations
1

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2178806Center for Dialysis Care Beachwood3755 Orange Place, Beachwood, OH 44122Certificate of waiverFeb 9, 2028

National Provider Directory

National Provider Directory
Part of
Center for Dialysis Care Home Care LTD

Member of 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1982242954",
    "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",
            "telephone_number": "216-658-0458",
            "fax_number": "216-295-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 ORANGE PL STE 103",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224455",
            "telephone_number": "216-591-0923",
            "fax_number": "216-591-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DIALYSIS CARE BEACHWOOD HOME CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR DIALYSIS CARE HOME CARE, LTD.",
        "enumeration_date": "2019-12-20",
        "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": "0406132",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, 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.

Verify at the official NPI Registry.