PHOENIX HOME DIALYSIS
NPI 1790969681
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Glendale, AZ

NPI Status: Active since December 27, 2007

Contact Information

20325 N 51ST AVE
BLDG 11 STE 184
GLENDALE, AZ
ZIP 85308
Phone: (623) 533-3836
Fax: (623) 533-4033

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

About PHOENIX HOME DIALYSIS

This page provides the complete NPI Profile along with additional information for Phoenix Home Dialysis, a provider established in Glendale, Arizona operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1790969681 assigned on December 2007. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Phoenix Home Dialysis. The authorized official of this NPI record is Thomas O Usilton Jr. (Sr Vice President)

NPI
1790969681
Provider Legal Name
SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC
Other Organization Name
PHOENIX HOME DIALYSIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
20325 N 51ST AVE BLDG 11 STE 184 GLENDALE, AZ 85308
Location Phone
(623) 533-3836
Location Fax
(623) 533-4033
Mailing Address
5200 VIRGINIA WAY STE 400 L&C BRENTWOOD, TN 37027
Mailing Phone
(615) 320-4435
Mailing Fax
(623) 533-4033
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2007
Last Update Date
01-10-2008
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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:

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

THOMAS O USILTON JR.

Authorized Official Title
SR VICE PRESIDENT
Authorized Official Phone
(770) 541-7922

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
032604MEDICARE OSCAR/CERTIFICATION (06) 

Reviews for PHOENIX 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.
1790969681
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718018618616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 8 + 6 + 1 + 8 + 6 + 1 + 6 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 11

The NPI number 1790969681 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386643641 JOSEPH FRANK RAYNAK MD
Individual
Family Medicine20325 N 51ST AVE SUITE 170
GLENDALE, AZ 85308
(623) 249-4928
1487602678 DEREK AMREIN D.C.
Individual
Chiropractor20325 N 51ST AVE #108
GLENDALE, AZ 85308
(623) 561-2511
1053360925SOUTHWEST KIDNEY DIALYSIS, LLC
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)20325 N 51ST AVE BUILDING 11 SUITE 184
GLENDALE, AZ 85308
(623) 533-3836
1023061074 LAURA ELIZABETH TIETJEN MPT OCS
Individual
Physical Therapist20325 N 51ST AVE STE 146
GLENDALE, AZ 85308
(623) 249-3216
1770700171SOUTHWEST KIDNEY DIALYSIS, LLC
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)20325 N 51ST AVE BUILDING 11, SUITE 186
GLENDALE, AZ 85308
(623) 533-6521
1780881375ARROWHEAD MEDICAL AND AESTHETIC CENTER LLC
Organization
Clinic/Center (Primary Care)20325 N 51ST AVE SUITE 100
GLENDALE, AZ 85308
(623) 434-0336
1821282666BRIAN S. PAGE D.O. P.L.L.C.
Organization
Specialist20325 N 51ST AVE BLDG 8 SUITE 160
GLENDALE, AZ 85308
(602) 942-0833
1073797627AMREIN CHIROPRACTIC LLC
Organization
Chiropractor20325 N 51ST AVE 108
GLENDALE, AZ 85308
(623) 561-2511
1356596969MS. LESLIE A KOTSIS NP-ADULT
Individual
Nurse Practitioner (Adult Health)20325 N 51ST AVE SUITE 160 BUILDING 8
GLENDALE, AZ 85308
(602) 942-0833
1982934204CENTER FOR SEXUAL AND URINARY FUNCTION
Organization
Urology20325 N 51ST AVE STE 102
GLENDALE, AZ 85308
(623) 780-2300
1356698625LADYBUG SPEECH THERAPY, LLC
Organization
Community/Behavioral Health20325 N 51ST AVE SUITE #140
GLENDALE, AZ 85308
(623) 643-8616
1700130028 CHAD CARTER DANCE F-NP
Individual
Nurse Practitioner (Family)20325 N 51ST AVE 160
GLENDALE, AZ 85308
(623) 466-6350
1164768933MS. HEATHER MARIE ENOS RD 960320
Individual
Dietitian, Registered20325 N 51ST AVE SUITE 166
GLENDALE, AZ 85308
(602) 341-5248
1245252527 ERIN ELIZABETH WEBB M.D.
Individual
Pediatrics20325 N 51ST AVE BUILDING 3, SUITE 116
GLENDALE, AZ 85308
(623) 972-5437
1700225778MRS. HEIDI LYNCH M.S., R.D.
Individual
Dietitian, Registered20325 N 51ST AVE BUILDING 9 SUITE 166
GLENDALE, AZ 85308
(602) 341-5248
1730529942A T STILL UNIVERSITY OF HEALTH SCIENCES
Organization
Dentist20325 N 51ST AVE UNIT 156
GLENDALE, AZ 85308
(623) 251-4700
1770872194 MELISSA ANNE CHAMBERS PA-C
Individual
Physician Assistant20325 N 51ST AVE 106
GLENDALE, AZ 85308
(623) 337-5866
1043633977 CHARLES MAITLAND PTA
Individual
Physical Therapy Assistant20325 N 51ST AVE SUITE 160
GLENDALE, AZ 85308
(623) 466-6350
1144531559DR. KATE MCBRIDE WATKINS JUDD PT
Individual
Physical Therapist (Orthopedic)20325 N 51ST AVE BLDG 6, SUITE 148
GLENDALE, AZ 85308
(623) 249-3216
1821407545INSIGHTS FOR LIFE LLC
Organization
Clinic/Center (Occupational Medicine)20325 N 51ST AVE 112
GLENDALE, AZ 85308
(623) 249-5888

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790969681, enumerated in the NPI registry as an "organization" on December 27, 2007

The provider is located at 20325 N 51st Ave Bldg 11 Ste 184 Glendale, Az 85308 and the phone number is (623) 533-3836

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: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 27, 2007. 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.