HOME DIALYSIS SERVICES OF SANDUSKY INC.
NPI 1710910674
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Sandusky, OH
NPI Status: Active since July 07, 2006
Contact Information
2819 HAYES AVE
SUITE 2
SANDUSKY, OH
ZIP 44870
Phone: (419) 627-8403
Fax: (419) 627-1962
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- Accepts Insurance
- CLIA Number: 36D2201444
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 11-19-2026
About HOME DIALYSIS SERVICES OF SANDUSKY INC.
This page provides the complete NPI Profile along with additional information for Home Dialysis Services Of Sandusky Inc., a provider established in Sandusky, Ohio operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1710910674 assigned on July 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Gwang Och Kim Md (President)
- NPI
- 1710910674
- Provider Name
- HOME DIALYSIS SERVICES OF SANDUSKY INC.
- Entity Type
- Organization
- Location Address
- 2819 HAYES AVE SUITE 2 SANDUSKY, OH 44870
- Location Phone
- (419) 627-8403
- Location Fax
- (419) 627-1962
- Mailing Address
- 2819 HAYES AVE STE 8 SANDUSKY, OH 44870
- Mailing Phone
- (419) 627-0477
- Mailing Fax
- (419) 627-1962
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-07-2006
- Last Update Date
- 12-13-2019
- Code Navigator
Location Map
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:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - 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.
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.
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 |
|---|---|---|---|
| 000000340065 | OTHER (01) | OH | ANTHEM |
| 2472104 | MEDICAID (05) | OH |
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
- 36D2201444
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- November 20, 2024
- Certificate Expiration Date
- November 19, 2026
- Laboratory Director
- ABDUL QADIR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Home Dialysis Services Of Sandusky Inc. 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 HOME DIALYSIS SERVICES OF SANDUSKY INC.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 7 | 1 | 0 | 9 | 1 | 0 | 6 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 18 | 1 | 0 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 1 + 8 + 1 + 0 + 6 + 1 + 4 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1710910674 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821233263 | DR. SALLY L HOLT PHD Individual | Audiologist-Hearing Aid Fitter | 2819 HAYES AVE SUITE 8 SANDUSKY, OH 44870 (419) 621-0158 |
| 1003130683 | M D COOPER INC. Organization | Internal Medicine | 2819 HAYES AVE STE. 6 SANDUSKY, OH 44870 (419) 626-0225 |
| 1386939205 | GREGORY J GERBER, M.D. LLC Organization | Physical Medicine & Rehabilitation (Pain Medicine) | 2819 HAYES AVE SUITE 7 SANDUSKY, OH 44870 (419) 609-9107 |
| 1992706543 | DR. GWANG OCH KIM MD Individual | Internal Medicine (Nephrology) | 2819 HAYES AVE SUITE #1 SANDUSKY, OH 44870 (419) 627-8403 |
| 1336228022 | DR. GREGORY JOSEPH GERBER MD Individual | Physical Medicine & Rehabilitation (Pain Medicine) | 2819 HAYES AVE SUITE 7 SANDUSKY, OH 44870 (419) 609-9107 |
| 1548899602 | NORTHEAST OHIO HOME DIALYSIS LLC Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 2819 HAYES AVE STE 8 SANDUSKY, OH 44870 (419) 627-0477 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710910674, enumerated in the NPI registry as an "organization" on July 07, 2006
The provider is located at 2819 Hayes Ave Suite 2 Sandusky, Oh 44870 and the phone number is (419) 627-8403
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: Ambetter from Meridian, Ambetter Health, Anthem. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 36D2201444 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 July 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.