Basic Information
| Provider Information | |||||||||
| NPI: | 1891448338 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOME COMFORT DIALYSIS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 23010 SHERIDAN ST | ||||||||
| Address2: | |||||||||
| City: | DEARBORN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481281837 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 27144 JOY RD | ||||||||
| Address2: | |||||||||
| City: | REDFORD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482392368 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3139606605 | ||||||||
| FaxNumber: | 7347539151 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/03/2022 | ||||||||
| LastUpdateDate: | 02/03/2022 | ||||||||
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| AuthorizedOfficialLastName: | SAAD | ||||||||
| AuthorizedOfficialFirstName: | CHADI | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3136088068 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 02/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.