MOBILE DIALYSIS SOLUTIONS, INC (NPI# 1558485052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558485052 |
| Entity Type | Organization |
| Organization Name | MOBILE DIALYSIS SOLUTIONS, INC |
| Practice Address |
6488 Glenway Ave Ste N Cincinnati OH 45211-5223 |
| Practice Telephone | 5133897639 |
| Practice Fax Number | 5133897633 |
| Mailing Telephone | 5133897639 |
| Mailing Fax Number | 5133897633 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOSEPH G WAKLATSI (ADMINISTRATOR) |
| Authorized Official Telephone | 5133897639 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2472R0900X |
Technician, Other Specialization: Renal Dialysis |
1617164 | OH | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
6488 GLENWAY AVE STE N |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45211-5223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649772666 | Holly Hornfeck | Case Manager/Care Coordinator | 3030 West Fork Rd, Cincinnati, OH 45211 | 2018-03-06 |
| 1972029890 | Patrick Maurice Lee-mitchell Sr. | Assisted Living Facility | 3403 Mayfair Ave, Cincinnati, OH 45211 | 2017-08-22 |
| 1902321847 | Tracey M Howard | Licensed Practical Nurse | 2661 Westwood Northern Blvd, Cincinnati, OH 45211 | 2017-08-11 |
| 1740712900 | Kenya Railey | Social Worker | 3325 Glenmore Avwe, Cincinnati, OH 45211 | 2017-03-28 |
| 1942742978 | Benjamin Allen Barnes | Nurse Practitioner | 3300 Mercy Health Blvd., Cincinnati, OH 45211 | 2016-11-08 |
| 1720530132 | Kandise Cook | Licensed Vocational Nurse | 2610 Morningdale Ct, Cincinnati, OH 45211 | 2016-11-02 |
| 1942759659 | Jasmine L Williams | Technician | 2813 Temple Ave, Apt 1, Cincinnati, OH 45211 | 2016-09-23 |
| 1528465457 | Continuous Living Inc. | Point of Service | 3516 Harrison Ave Suit B, Cincinnati, OH 45211 | 2014-11-20 |
| 1144620865 | Marlo Herring | Home Health Aide | 2864 Shaffer Ave, Cincinnati, OH 45211 | 2014-08-29 |
| 1578981759 | Healing Hands Health Care Service, LLC | In Home Supportive Care | 2915 Wardall Avenue, Cincinnati, OH 45211 | 2014-04-03 |
| Find all providers in zip 45211 | ||||
| Taxonomy Code | 2472R0900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| Specialization | Renal Dialysis |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619534013 | Tracy Erica Smith | Technician, Other | 1202 Glenview Dr, Mogadore, OH 44260-9581 | 2019-05-22 |
| 1164911467 | Laquandra Shantee Williams | Technician, Other | 1138 Lexington Ave, Columbus, OH 43201-2939 | 2018-05-02 |
| City | CINCINNATI |
| Zip Code | 45211 |
Please comment or provide details below to improve the information on MOBILE DIALYSIS SOLUTIONS, INC.
| 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.