Provider Demographics
NPI:1508631193
Name:HOME DIALYSIS & KIDNEY CARE LIMITED
Entity Type:Organization
Organization Name:HOME DIALYSIS & KIDNEY CARE LIMITED
Other - Org Name:HOME DIALYSIS & KIDNEY CARE LIMITED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:VASEEMUDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-323-5491
Mailing Address - Street 1:1127 S. ARLINGTON HEIGHTS ROAD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005
Mailing Address - Country:US
Mailing Address - Phone:847-323-5491
Mailing Address - Fax:630-782-9781
Practice Address - Street 1:1127 S. ARLINGTON HEIGHTS ROAD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005
Practice Address - Country:US
Practice Address - Phone:847-323-5491
Practice Address - Fax:630-782-9781
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME DIALYSIS & KIDNEY CARE LIMITED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-24
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty