ADVANCED DIALYSIS CENTER – NPI #1508029372
Clinic/Center

ADVANCED DIALYSIS CENTER is an AHC clinic located in ROCKVILLE, MD. NPPES has assigned the NPI number 1508029372 to ADVANCED DIALYSIS CENTER on July 02, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED DIALYSIS CENTER” is a dba name, the actual legal business name for this organization is ADVANCED DIALYSIS CENTER, LLC. 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 6 years ago on Jan 15, 2020. 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 ADVANCED DIALYSIS CENTER below.

NPI Profile for
ADVANCED DIALYSIS CENTER, LLC

NPI Number
1508029372
Enumeration Date

(about 18 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
ADVANCED DIALYSIS CENTER, LLC
Doing Business As (dba): ADVANCED DIALYSIS CENTER
Primary location
299 HURLEY AVE
ROCKVILLE, MD 20850-3118
Phone: (301) 577-1007 Fax: (301) 577-1006
Mailing address
9320 ANNAPOLIS RD
SUITE 200
LANHAM, MD 20706-3100
Phone: (301) 577-1007 Fax: (301) 577-1006
Organization Subpart
Yes - ADVANCED DIALYSIS CENTER is subpart of another organization.
Authorized Official
MARY JENKINS
CEO
Phone: (202) 422-7492
Updated
Certification Date
Jan 15, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADVANCED DIALYSIS CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD406877700
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)

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
Lanham
Endpoint type
CONNECT URL
Endpoint Description
Content Type
CSV
Affiliation
N
Endpoint Location
299 HURLEY AVE,
ROCKVILLE, MD 77025-1669