Healthcare Provider Details

I. General information

NPI: 1275466989
Provider Name (Legal Business Name): FRESENIUS MEDICAL CARE OPELIKA HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2609 VILLAGE PROFESSIONAL DR.
OPELIKA AL
36801
US

IV. Provider business mailing address

2609 VILLAGE PROFESSIONAL DR N STE 3
OPELIKA AL
36801-4786
US

V. Phone/Fax

Practice location:
  • Phone: 781-699-9000
  • Fax:
Mailing address:
  • Phone: 334-539-6825
  • Fax: 334-681-0207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BARRY BLANTON
Title or Position: VICE PRESIDENT
Credential:
Phone: 781-676-5200