FREEDOM HOME DIALYSIS, LLC (NPI# 1104102839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104102839 |
| Entity Type | Organization |
| Organization Name | FREEDOM HOME DIALYSIS, LLC |
| Other Organization Name | FREEDOM HOME DIALYSIS |
| Practice Address |
45 Thomas Johnson Dr Suite 211 Frederick MD 21702-4425 |
| Practice Telephone | 3016241054 |
| Practice Fax Number | 3016639571 |
| Mailing Telephone | 3016241054 |
| Mailing Fax Number | 3016639571 |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |
| Authorized Official Name | BRANISLAV S ROMANIC (OWNER AND MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3016639570 |
| Authorized Official Credential | MD |
| 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 |
E2661 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 419939100 | 05 |
| Other Name | Type Code |
|---|---|
| FREEDOM HOME DIALYSIS | Doing Business As Name - Organization |
| Street Address |
45 THOMAS JOHNSON DR SUITE 211 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003813072 | Kimberly Lyn Zeren | Nurse Practitioner | 45 Thomas Johnson Dr, Suite 109, Frederick, MD 21702-4425 | 2005-07-05 |
| 1649538752 | Dawn Christian Sharer | Nurse Practitioner | 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4425 | 2012-04-26 |
| 1881987907 | Nicole Harriman | Nurse Practitioner | 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4425 | 2011-05-23 |
| 1871893719 | Catherine Theresa Lauritzen | Nurse Practitioner | 45 Thomas Johnson Dr, Suite 209, Frederick, MD 21702-4425 | 2010-10-26 |
| 1427385681 | Khc Group PC | Clinical Medical Laboratory | 45 Thomas Johnson Dr, Frederick, MD 21702-4425 | 2009-11-09 |
| 1649435694 | Frederick Dermatology Associates LLC | Dermatology | 45 Thomas Johnson Dr, Frederick, MD 21702-4425 | 2008-07-18 |
| 1881862258 | Camerica S. Boma | Nurse Anesthetist, Certified Registered | 45 Thomas Johnson Dr, Suite 207, Frederick, MD 21702-4425 | 2008-02-19 |
| 1427260579 | Sarah S Lantzy | Internal Medicine | 45 Thomas Johnson Dr, Frederick, MD 21702-4425 | 2007-05-03 |
| 1568587772 | Dental One Associates Frederick PC | Dentist | 45 Thomas Johnson Dr, Suite 105, Frederick, MD 21702-4301 | 2007-03-20 |
| 1356489991 | Lorne Yasbin | Dentist | 45 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2007-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| 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 |
|---|---|---|---|---|
| 1396236626 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 1306 W Patrick St Ste 5, Frederick, MD 21703-4869 | 2018-05-22 |
| 1285086389 | Kidney Center of Dacono LLC | Clinic/Center | 5992 Iris Pkwy, Frederick, CO 80504-6412 | 2016-07-13 |
| 1114119336 | Frederick Renal Care LLC. | Clinic/Center | 405 W Seventh St, Suite A, Frederick, MD 21701-4505 | 2007-08-11 |
| 1407381155 | Fresenius Medical Care Frederick, LLC | Clinic/Center | 163 Thomas Johnson Dr, Frederick, MD 21702-4673 | 2017-05-01 |
| 1902184625 | Total Renal Care Inc | Clinic/Center | 5205 Chairmans Ct, Ste 101, Frederick, MD 21703-2916 | 2011-07-29 |
| 1023078466 | Dva Healthcare of Maryland LLC | Clinic/Center | 140 Thomas Johnson Dr, Ste100, Frederick, MD 21702-4475 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023648284 | Fresenius Medical Care Bowie, LLC | Clinic/Center | 16300 Heritage Blvd, Bowie, MD 20716-3106 | 2020-01-16 |
| 1710547344 | Fresenius Medical Care Fairmount Heights, LLC | Clinic/Center | 6301 Walker Mill Rd, District Heights, MD 83070 | 2019-06-17 |
| 1740840503 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 163 Jennifer Rd Ste A, Annapolis, MD 21401-3043 | 2019-06-14 |
| 1538725965 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 3000 N Ridge Rd Ste A, Ellicott City, MD 21043-3311 | 2019-05-10 |
| 1851957286 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 3419 Plumtree Dr Ste 103, Ellicott City, MD 21042-3871 | 2019-05-10 |
| 1144783598 | Fresenius Medical Care Southern Maryland Home, LLC | Clinic/Center | 3510 Old Washington Rd Ste 300, Waldorf, MD 20602-3236 | 2019-04-12 |
| 1205399854 | Mather Dialysis LLC | Clinic/Center | 1840 York Rd Ste A, Lutherville Timonium, MD 21093-5121 | 2019-04-10 |
| 1598228249 | Concerto Maryland LLC | Clinic/Center | 1531 S Edgewood St Ste D, Halethorpe, MD 21227-1138 | 2019-04-10 |
| 1346709037 | Dialyze Direct Md, LLC | Clinic/Center | 502 Mccormick Dr, Glen Burnie, MD 21061-3216 | 2019-03-13 |
| 1306323050 | Wyota Dialysis, LLC | Clinic/Center | 11700 Livingston Rd, Fort Washington, MD 20744-5150 | 2018-07-25 |
| Find all providers with the same taxonomy | ||||
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| 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.