Provider Demographics
NPI:1013349471
Name:AMERICARE KIDNEY INSTITUTE LLC
Entity Type:Organization
Organization Name:AMERICARE KIDNEY INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEMECEK
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, RN, CNN
Authorized Official - Phone:440-292-0226
Mailing Address - Street 1:805 COLUMBIA RD STE 109
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1461
Mailing Address - Country:US
Mailing Address - Phone:440-799-4224
Mailing Address - Fax:440-292-0225
Practice Address - Street 1:805 COLUMBIA RD STE 101
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1461
Practice Address - Country:US
Practice Address - Phone:216-228-5500
Practice Address - Fax:216-227-2628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-07
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty