ST. MARINA HOME DIALYSIS LLC (NPI# 1548884927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548884927 |
| Entity Type | Organization |
| Organization Name | ST. MARINA HOME DIALYSIS LLC |
| Practice Address |
30800 Telegraph Rd Ste 3700 Bingham Farms MI 48025-4583 |
| Practice Telephone | 2485355685 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| Authorized Official Name | PATRICK KINAYA (ADMINISTRATOR) |
| Authorized Official Telephone | 2485355685 |
| 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 |
|---|---|
| Saint Marina Home Dialysis | Other Name - Individual/Organization |
| Street Address |
30800 TELEGRAPH RD STE 3700 |
| City | BINGHAM FARMS |
| State | MI |
| Zip Code | 48025-4583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568086056 | John Paul Home Hospice LLC | Hospice Care, Community Based | 30800 Telegraph Rd Ste 3700, Bingham Farms, MI 48025-4583 | 2020-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | BINGHAM FARMS |
| Zip Code | 48025 |
Please comment or provide details below to improve the information on ST. MARINA HOME DIALYSIS 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.