DIALYSIS CARE CENTER FREMONT LLC (NPI# 1467955591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467955591 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CARE CENTER FREMONT LLC |
| Practice Address |
1454 W. Main St Fremont MI 49412-0175 |
| Mailing Address |
Po Box 3134 Joliet IL 60434-3134 |
| Practice Telephone | 2317995259 |
| Practice Fax Number | 2313352650 |
| Mailing Telephone | 8157416830 |
| Mailing Fax Number | 8157416832 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2019-01-09 |
| Authorized Official Name | MORUFU ALAUSA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8157416830 |
| 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 |
Ambulatory Health Care Facilities |
| Street Address |
1454 W. MAIN ST |
| City | FREMONT |
| State | MI |
| Zip Code | 49412-0175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437632437 | Claire Marie J Derks | Massage Therapist | 119 North Stone Road, Fremont, MI 49412 | 2018-09-14 |
| 1730565946 | Retirement Living Management of Fremont, L.L.C. | Assisted Living Facility | 801 E. Main Street, Fremont, MI 49412 | 2015-08-11 |
| 1497136410 | James Yon | Social Worker | 3682 S Maple Island Rd, Fremont, MI 49412 | 2015-06-16 |
| 1871864090 | Cheryl Lee Kublin | Specialist | 4554 W. 48th St, Fremont, MI 49412 | 2012-01-19 |
| 1326319583 | Colleen M Rice | Occupational Therapist | 4554 W. 48th Street, Fremont, MI 49412 | 2012-01-19 |
| 1154578847 | Greenlund Enterprises, Inc | Hearing Aid Equipment | 28 Wet Sheridan Street, Fremont, MI 49412 | 2008-08-25 |
| 1225170699 | Raymond Prins IIi | Dentist | 855 N Darling, Fremont, MI 49412 | 2007-02-13 |
| 1508933789 | Charles Merle Erickson | Dentist | 16 W Sheridan, Fremont, MI 49412 | 2006-11-30 |
| 1588741300 | Christopher Callis Niquette | Dentist | 327 Apache Dr, Fremont, MI 49412 | 2006-11-01 |
| 1417041179 | Newaygo County Resa | Local Education Agency (LEA) | 4747 W. 48th Street, Fremont, MI 49412 | 2006-10-03 |
| Find all providers in zip 49412 | ||||
| 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 |
|---|---|---|---|---|
| 1124380456 | Kinswa Dialysis LLC | Clinic/Center | 100 Pinnacle Dr, Fremont, OH 43420-7400 | 2012-06-12 |
| 1407130602 | Walker Dialysis LLC | Clinic/Center | 2599 Stevenson Blvd, Fremont, CA 94538-2315 | 2011-10-06 |
| 1548354301 | Rai Care Centers of Nebraska II, LLC | Clinic/Center | 2660 North Healthy Way, Fremont, NE 68025-2318 | 2006-10-03 |
| 1831100270 | Bio-medical Applications of Fremont Inc | Clinic/Center | 39505 Paseo Padre Pkwy, Fremont, CA 94538-2391 | 2006-08-11 |
| 1962464388 | Dva Renal Healthcare, Inc | Clinic/Center | 1949 E 23rd Ave S, Fremont, NE 68025-2452 | 2006-04-03 |
| 1629039144 | Dva Renal Healthcare Inc | Clinic/Center | 1317 W Main St, Fremont, MI 49412-1478 | 2006-04-01 |
| 1144292186 | Wellbound of Menlo Park LLC | Clinic/Center | 39510 Paseo Padre Pkwy, Suite 100, Fremont, CA 94538-4707 | 2006-02-03 |
| 1992776132 | Dialysis Centers of Northwest Ohio, Ltd. | Clinic/Center | 2400 Enterprise St, Fremont, OH 43420-8550 | 2006-01-27 |
| 1730472507 | Walker Dialysis LLC | Clinic/Center | 39355 California St, Ste 101, Fremont, CA 94538-1447 | 2011-05-26 |
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| 1801497961 | Saint Marina Home Dialysis LLC | Clinic/Center | 26711 Northwestern Hwy Ste 125, Southfield, MI 48033-2170 | 2020-11-05 |
| 1144820226 | Heritage Home Dialysis LLC | Clinic/Center | 1580 N Leroy St Ste 6, Fenton, MI 48430-2801 | 2020-10-28 |
| 1386262350 | Delta Renal Care Pllc | Clinic/Center | 3981 Elizabeth Ave, Canton, MI 48188-7223 | 2020-07-07 |
| 1457973257 | Fms Owosso, LLC | Clinic/Center | 918 Corunna Ave, Owosso, MI 48867-3768 | 2020-05-14 |
| 1023650926 | Falmont Dialysis LLC | Clinic/Center | 37290 5 Mile Rd, Livonia, MI 48154-1848 | 2019-10-11 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1487123600 | Concerto Michigan LLC | Clinic/Center | 14700 Farmington Rd Ste 108, Livonia, MI 48154-5462 | 2018-11-16 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1851886592 | Fms Rochester Hills, LLC | Clinic/Center | 26400 W 12 Mile Rd Ste 112, Southfield, MI 48034-1785 | 2018-06-26 |
| 1801399753 | Kasaskia Dialysis LLC | Clinic/Center | 18001 E 10 Mile Rd Ste B, Roseville, MI 48066-3803 | 2018-03-16 |
| 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.