LAKESHORE DIALYSIS LLC


Address: 4750 N Main St, Dayton, OH 45405-5021
Phone: 9372785139

LAKESHORE DIALYSIS LLC (NPI# 1427399369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427399369
Entity Type Organization
Organization Name LAKESHORE DIALYSIS LLC
Other Organization Name FIVE RIVERS DIALYSIS
Practice Address 4750 N Main St
Dayton
OH 45405-5021
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 9372785139
Practice Fax Number 9372785722
Mailing Telephone 6152383051
Mailing Fax Number 8002468346
Enumeration Date 2013-03-01
Last Update Date 2020-06-25
Authorized Official Name JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334501
Is Organization Subpart N

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
OH 0099627 05

Other Provider/Organization Names

Other Name Type Code
Five Rivers Dialysis Doing Business As Name - Organization

Office Location

Street Address 4750 N MAIN ST
City DAYTON
State OH
Zip Code 45405-5021

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497252613 Christina Giuffrida Student in an Organized Health Care Education/Training Program Grandview Medical Center, Ou Medical Education Office, 405 W. Grand Avenue, Dayton, OH 45405 2018-04-13
1740718410 Iain William Decker Student in an Organized Health Care Education/Training Program 330 Forest Ave, Dayton, OH 45405 2017-05-25
1144779000 Horizon Home Healthcare Service, LLC Home Health 201 Riverside Dr Ste 2h, Dayton, OH 45405 2016-10-03
1629347695 Grandview Hospital General Acute Care Hospital 405 West Grand Avenue, Dayton, OH 45405 2011-12-21
1962712265 Lakisha L Barber Licensed Practical Nurse 2039 Rustic Road, Dayton, OH 45405 2010-10-20
1457685232 Sally Ann Easton Occupational Therapy Assistant 1390 King Tree Drive, Dayton, OH 45405 2009-09-25
1083848535 Azeem Z. Vasi Otolaryngology 405 W. Grand Ave., Grandview Hospital and Medical Center- Medical Educatio, Dayton, OH 45405 2009-05-13
1588823306 Dorothy W Clarke Dietitian, Registered 405 W Grand, Dayton, OH 45405 2008-06-06
1831243062 Brian Michael Glenn Nurse Anesthetist, Certified Registered 450 W. Grand Avenue, Dayton, OH 45405 2007-01-23
1003989807 Han Mok Yang Internal Medicine 3213 North Main Street, Dayton, OH 45405 2006-11-17
Find all providers in zip 45405

Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386180099 Bio-medical Applications of Ohio, Inc. Clinic/Center 821 S Edwin C Moses Blvd, Dayton, OH 45417 2017-01-19
1316481427 Total Renal Care Inc Clinic/Center 5680 Salem Bend Dr., Dayton, OH 45426-1462 2016-12-08
1336682707 Isd Renal Inc Clinic/Center 2808 Germantown St, Dayton, OH 45417-4134 2016-12-02
1710281464 Total Renal Care Inc Clinic/Center 455 Turner Rd Ste B, Dayton, OH 45415-3630 2011-01-10
1194837088 Bio-medical Applications of Texas, Inc. Clinic/Center 1003 N Cleveland St, Dayton, TX 77535-2131 2006-08-31
1285667667 Dialysis Clinic Inc. Clinic/Center 230 White Oak Rd, Dayton, TN 37321-5200 2006-07-08
1861424707 Peritoneal Dialysis Concepts Inc. Clinic/Center 1 Elizabeth Pl. 627 Edwin C Moses Blvd, Suite 2b, Dayton, OH 45417-1445 2006-07-07
1255312526 Dialysis Centers of Dayton, LLC Clinic/Center 1431 Business Center Ct, Dayton, OH 45410-3300 2005-11-14
1861005241 Fresenius Medical Care Centerville Home, LLC Clinic/Center 7211 Shull Rd, Dayton, OH 45424-1234 2020-08-26
1962956672 Total Renal Care Inc Clinic/Center 1431 Business Center Ct, Dayton, OH 45410-3300 2016-08-10
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45405

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Dataset Information

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.

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