DIALYSIS AT HOME – NPI #1265823918
Clinic/Center

DIALYSIS AT HOME is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1265823918 to DIALYSIS AT HOME on February 16, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 11 years ago on Mar 27, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIALYSIS AT HOME below.

NPI Profile for
DIALYSIS AT HOME

NPI Number
1265823918
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIALYSIS AT HOME
Primary location
11638 S WESTERN AVE
CHICAGO, IL 60643-4730
Phone: (224) 735-3638 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHAHIDA KHAN
OWNER
Phone: (847) 401-6079
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)		 IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.