OHIO RENAL CARE GROUP, LLC (NPI# 1013022862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013022862 |
| Entity Type | Organization |
| Organization Name | OHIO RENAL CARE GROUP, LLC |
| Other Organization Name | ORCG WEST |
| Practice Address |
14670 Snow Rd Brook Park OH 44142-2461 |
| Practice Telephone | 2162671451 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7814029000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ORCG WEST | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477783116 | Ohio Renal Care Group, LLC | Clinic/Center | 1100 Redwood Dr, Ashland, OH 44805-4505 | 2009-07-15 |
| 1750497681 | Ohio Renal Care Group, LLC | Clinic/Center | 26450 Euclid Ave, Euclid, OH 44132-3307 | 2006-08-22 |
| 1386759132 | Ohio Renal Care Group, LLC | Clinic/Center | 3280 W 25th St, Cleveland, OH 44109-1670 | 2006-08-20 |
| 1659486405 | Ohio Renal Care Group, LLC | Clinic/Center | 5035 Richmond Rd, Bedford, OH 44146-1328 | 2006-08-20 |
| 1922113778 | Ohio Renal Care Group, LLC | Clinic/Center | 11203 Stokes Blvd, Cleveland, OH 44104-2525 | 2006-08-20 |
| 1912012774 | Ohio Renal Care Group, LLC | Clinic/Center | 6020 Enterprise Pkwy, Solon, OH 44139-2753 | 2006-08-20 |
| 1740720192 | Ohio Renal Care Group, LLC | Clinic/Center | 4200 Warrensville Center Rd, Ste 100, Warrensville Heights, OH 44122-7051 | 2017-03-06 |
| 1437426640 | Ohio Renal Care Group, LLC | Clinic/Center | 13944 Euclid Ave, East Cleveland, OH 44112-3832 | 2011-11-17 |
| 1720218464 | Ohio Renal Care Group, LLC | Clinic/Center | 26024 Detroit Rd, Westlake, OH 44145-2427 | 2009-07-15 |
| 1609982537 | Ohio Renal Care Group, LLC | Clinic/Center | 11203 Stokes Blvd, 3rd Floor, Cleveland, OH 44104-2525 | 2006-08-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | OHIO RENAL CARE GROUP, LLC | 9500 Euclid Ave., Cleveland, OH 44195-5108 |
| Street Address |
14670 SNOW RD |
| City | BROOK PARK |
| State | OH |
| Zip Code | 44142-2461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326527516 | Kyle Snyder | Community/Behavioral Health | 5545 Smith Road, Brook Park, OH 44142 | 2018-08-09 |
| 1720576747 | Jennifer Siek | Community/Behavioral Health | 5555 Smith Road, Brook Park, OH 44142 | 2018-04-25 |
| 1538556360 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 6430 Eastland Rd, Brook Park, OH 44142 | 2015-04-20 |
| 1275742751 | Debra A. Tkac | Counselor | Ohio Guidestone, 16101 Snow Road, Suite 101, Brookpark, OH 44142 | 2007-05-22 |
| 1619998788 | Brookpark City | Ambulance | 17401 Holland Rd, Brookpark, OH 44142 | 2006-07-22 |
| 1497228605 | Alexis Pfarr | Community/Behavioral Health | 5545 Smith Road, Brook Park, OH 44142 | 2019-01-10 |
| 1154802122 | Deneen Watson | Community/Behavioral Health | 5545 Smith Road, Brook Park, OH 44142 | 2018-08-27 |
| 1073094520 | Lacie Robinson | Community/Behavioral Health | 5545 Smith Road, Brook Park, OH 44142 | 2018-08-23 |
| 1619157039 | Outreach Professional Services Inc | Oral & Maxillofacial Surgery | 15900 Snow Rd, Suite 200, Brook Park, OH 44142 | 2007-11-14 |
| 1487728382 | Denise Holocker | Physician Assistant | 15900 Snow Rd, Ste 200, Brookpark, OH 44142 | 2006-11-20 |
| Find all providers in zip 44142 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744616 | Akron Renal Care Group, LLC | Clinic/Center | 2583 Center Rd, Hinckley, OH 44233-9561 | 2020-09-11 |
| 1366057747 | Akron Renal Care Group, LLC | Clinic/Center | 9200 Staples Dr Ste A, Streetsboro, OH 44241-3950 | 2020-09-11 |
| 1518570886 | Independent Dialysis Group Northeast Ohio LLC | Clinic/Center | 48444 Bell School Rd Ste 4, Calcutta, OH 43920-9646 | 2020-08-26 |
| 1871106401 | Akron Renal Care Group, LLC | Clinic/Center | 401 Devon Pl Ste 100, Kent, OH 44240-6481 | 2020-08-24 |
| 1558985663 | Wyandot Dialysis Clinic LLC | Clinic/Center | 1207 E Wyandot Ave, Upper Sandusky, OH 43351-9647 | 2020-06-04 |
| 1245854876 | Concerto Ohio LLC | Clinic/Center | 2111 S Green Rd, South Euclid, OH 44121-3350 | 2020-05-29 |
| 1548899602 | Northeast Ohio Home Dialysis LLC | Clinic/Center | 2819 S Hayes Ave Ste 8, Sandusky, OH 44870-5391 | 2020-04-02 |
| 1982242954 | Center for Dialysis Care Beachwood Home Care LLC | Clinic/Center | 3755 Orange Pl Ste 103, Beachwood, OH 44122-4455 | 2019-12-20 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1912554486 | Usrc Tiffin, LLC | Clinic/Center | 100 Shaffer Park Dr Ste A, Tiffin, OH 44883-8536 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | BROOK PARK |
| Zip Code | 44142 |
Please comment or provide details below to improve the information on OHIO RENAL CARE GROUP, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.