MEDICARE: DIALYSIS CENTERS OF DAYTON, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	14507	OTHER	OH	CARESOURCE
3	6820001	OTHER	OH	UNITED HEALTHCARE
4	000000002737	OTHER	OH	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1255312526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIALYSIS CENTERS OF DAYTON, LLC

Provider Business Mailing Address
First Line	:	136 S. LUDLOW ST.
Second Line	:	SUITE 500
City	:	DAYTON
State	:	OH
Zip	:	45402
Country	:	US
Telephone Number	:	937-499-8850
Fax Number	:	937-223-9615

Provider Business Practice Location Address
First Line	:	1431 BUSINESS CENTER CT
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45410-3300
Country	:	US
Telephone Number	:	937-499-8850
Fax Number	:	937-223-9615

Authorized Official
Title or Position	:	CONTROLLER
Name	:	JAYME NICOLE HANSEN
Credential	:
Telephone Number	:	937-499-8850

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	08/29/2012

Similar Medicare Providers

1467417386 — MR. JAMES D. WELSH PA-C
Practice Location Address:

1427 BUSINESS CENTER CT
DAYTON, OH
45410-3300

Practice Phone: 937-254-0160
Practice Fax: 937-254-1478

1821109174 — MICHELLE HOGAN-REEDER P.T.
Practice Location Address:

1411 BUSINESS CENTER CT
DAYTON, OH
45410-3300

Practice Phone: 937-256-1411
Practice Fax:

1861630345 — DIALYSIS CENTERS OF DAYTON LLC
Practice Location Address:

1431 BUSINESS CENTER CT , HOME HEMODIALYSIS
DAYTON, OH
45410-3300

Practice Phone: 937-254-0083
Practice Fax: 937-254-9312

1922342187 — BASTROP DIALYSIS LLC
Practice Location Address:

1431 BUSINESS CENTER CT
DAYTON, OH
45410-3300

Practice Phone: 937-208-9050
Practice Fax: 937-208-9055

1902140122 — BASTROP DIALYSIS LLC
Practice Location Address:

1431 BUSINESS CENTER CT
DAYTON, OH
45410-3300

Practice Phone: 937-208-9050
Practice Fax: 937-208-9055

1467804294 — TOTAL RENAL CARE INC
Practice Location Address:

1431 BUSINESS CENTER CT
DAYTON, OH
45410-3300

Practice Phone: 937-252-1867
Practice Fax: 937-252-2256

Directions to “DIALYSIS CENTERS OF DAYTON, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.