Fresenius Medical Care North Elkhart, LLC

Primary specialty

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

Legal business name

FRESENIUS MEDICAL CARE NORTH ELKHART, LLC

Doing business as

Fresenius Kidney Care North Elkhart

Practice address

801 W Bristol St
Elkhart, IN 46514-2956

Phone

(574) 206-0974

Fax

(574) 206-9189

NPI assigned

Jun 10, 2019

Last updated

Oct 23, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Barry L. Blanton

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• FRESENIUS KIDNEY CARE NORTH ELKHART Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Fresenius Kidney Care North ElkhartCCN 152703

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Oct 9, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Fresenius Medical Care

Dialysis stations

13

Member of 2

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

• Bio-Medical Applications of Indiana, Inc.

  dba Fresenius Medical Care Elwood

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Elwood, IN
  • NPI 1538355748

  Member Of

  NPD member
• National Medical Care, Inc.

  dba Renal Care Center of North Georgia Bma

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Canton, GA
  • NPI 1871605600

  Member Of

  NPD member

Locations

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Christiane Nwawock Mbianda, M.D.

  • Nephrology Physician
  • Mishawaka, IN
  • NPI 1255656138

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1982263398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142956",
            "telephone_number": "574-206-0974",
            "fax_number": "574-206-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142956",
            "telephone_number": "574-206-0974",
            "fax_number": "574-206-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE NORTH ELKHART, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2019-06-10",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FRESENIUS KIDNEY CARE NORTH ELKHART",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FRESENIUS KIDNEY CARE NORTH ELKHART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Frank, PT
• Free Your Mind Counseling, Inc.
• Freedom Counseling Services, LLC
• Freedom Physical Therapy and Wellness LLC
• Susan Freisinger, CRNA
• Peter C Fretz, MD
• Elvie J Frey Jr., CRNA
• Denise Friedli, RPT
• Austin Fritzgerald
• Emily Fayeth Fry-Schutt, PHARMD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Elkhart, IN
• Providers in Elkhart, IN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.