NEW HAVEN HOME DIALYSIS
NPI 1124037189
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in New Haven, CT

NPI Status: Active since August 07, 2006

Contact Information

136 SHERMAN AVE STE 206
NEW HAVEN, CT
ZIP 06511
Phone: (203) 773-0853
Fax: (203) 776-2904

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • Accepts Insurance
  • CLIA Number: 07D0703468
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 08-31-2026

About NEW HAVEN HOME DIALYSIS

This page provides the complete NPI Profile along with additional information for New Haven Home Dialysis, a provider established in New Haven, Connecticut operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1124037189 assigned on August 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as New Haven Home Dialysis. The authorized official of this NPI record is Barry L. Blanton (Vice President)

NPI
1124037189
Provider Legal Name
RENAL RESEARCH INSTITUTE, LLC
Other Organization Name
NEW HAVEN HOME DIALYSIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
136 SHERMAN AVE STE 206 NEW HAVEN, CT 06511
Location Phone
(203) 773-0853
Location Fax
(203) 776-2904
Mailing Address
136 SHERMAN AVE STE 206 NEW HAVEN, CT 06511
Mailing Phone
(203) 773-0853
Mailing Fax
(203) 776-2904
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-07-2006
Last Update Date
10-13-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BARRY L. BLANTON

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(781) 699-9000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
072503OTHER (01)PTAN

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
07D0703468
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
FREDRIC O. FINKELSTEIN MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to New Haven Home Dialysis to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for NEW HAVEN HOME DIALYSIS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124037189
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21440314116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 3 + 1 + 4 + 1 + 1 + 6 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1124037189 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124037189, enumerated in the NPI registry as an "organization" on August 07, 2006

The provider is located at 136 Sherman Ave Ste 206 New Haven, Ct 06511 and the phone number is (203) 773-0853

This medical organization specializes in Clinic/Center with taxonomy code 261QE0700X with a focus in End-Stage Renal Disease (ESRD) Treatment

The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 07D0703468 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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