MEDICARE: LEOMINSTER DIALYSIS 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

General Provider Information

NPI Number	:	1760025217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEOMINSTER DIALYSIS LLC

Provider Business Mailing Address
First Line	:	20 COMMERCIAL RD STE 5
Second Line	:
City	:	LEOMINSTER
State	:	MA
Zip	:	01453-3339
Country	:	US
Telephone Number	:	978-466-3415
Fax Number	:	978-466-3416

Provider Business Practice Location Address
First Line	:	20 COMMERCIAL RD STE 5
Second Line	:
City	:	LEOMINSTER
State	:	MA
Zip	:	01453-3339
Country	:	US
Telephone Number	:	978-466-3415
Fax Number	:	978-466-3416

Authorized Official
Title or Position	:	CHIEF NURSING OFFICER
Name	:	SARA ANNE BRADY
Credential	:
Telephone Number	:	208-371-7878

Provider Enumeration Date	:	10/28/2019
Last Update Date	:	01/10/2023

Similar Medicare Providers

1821979857 — MCKENNA WILLIAMS
Practice Location Address:

20 COMMERCIAL RD
LEOMINSTER, MA
01453-3339

Practice Phone: 978-798-6896
Practice Fax: 978-798-6897

1588830145 — MUNA AHMAD M.D.
Practice Location Address:

20 COMMERCIAL RD
LEOMINSTER, MA
01453-3339

Practice Phone: 978-534-6100
Practice Fax:

1780018218 — MS. MARIE C SZCZESNY NP-C
Practice Location Address:

20 COMMERCIAL RD STE 2
LEOMINSTER, MA
01453-3339

Practice Phone: 978-798-6896
Practice Fax: 978-798-6897

1326573387 — JULIE TUCKER FNP-BC
Practice Location Address:

20 COMMERCIAL RD STE 2
LEOMINSTER, MA
01453-3339

Practice Phone: 978-798-6896
Practice Fax: 978-798-6897

1851905186 — LAURA MARIE GLEASON FNP-BC
Practice Location Address:

20 COMMERCIAL RD STE 2
LEOMINSTER, MA
01453-3339

Practice Phone: 978-798-6896
Practice Fax: 978-798-6897

1508563800 — CONVENIENTMD LLC
Practice Location Address:

20 COMMERCIAL RD STE 2
LEOMINSTER, MA
01453-3339

Practice Phone: 978-798-6896
Practice Fax:

Directions to “LEOMINSTER DIALYSIS 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.