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NONE
NPI 1083950984
Durable Medical Equipment & Medical Supplies - Dialysis Equipment & Supplies in Buckeye, AZ

Active since December 20, 2012
22356 W LASSO LN, BUCKEYE, AZ 85326(623) 210-2710 Get Directions Write a Review

NPPES record last updated: September 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About None NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NONE (NPI 1083950984) is a healthcare organization registered as a dialysis equipment & supplies in Buckeye, Arizona and active in the NPI registry since December 2012. The organization lists William Henry Davis, Owner/supply, as its authorized official.

NPPES Registry Identity

NPI1083950984
Entity TypeOrganization
Primary Taxonomy332BD1200X
Legal Business NameEND STAGE RENAL DISEASE HOME CARE PROVIDER AGENCY
Location Address22356 W LASSO LNBuckeye, AZ 85326-5979
Mailing AddressPo Box 6911Goodyear, AZ 85338-0632 · (414) 759-8587
Phone(623) 210-2710
Organization SubpartNo
Authorized OfficialWilliam Henry DavisOwner/supply · (414) 759-8587
Enumeration DateDecember 20, 2012
Last NPPES UpdateSeptember 11, 2014
✔ NPI 1083950984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Dialysis Equipment & SuppliesSuppliers
Taxonomy Code332BD1200X
22356 W LASSO LN, Buckeye, AZ 85326
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is End Stage Renal Disease Home Care Provider Agency's NPI number?

The NPI number for End Stage Renal Disease Home Care Provider Agency is 1083950984. It was assigned to this organization in the NPPES registry on December 20, 2012.

Where is End Stage Renal Disease Home Care Provider Agency located?

End Stage Renal Disease Home Care Provider Agency is located at 22356 W Lasso Ln, Buckeye, AZ 85326. The listed phone number is (623) 210-2710.

What is End Stage Renal Disease Home Care Provider Agency's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Dialysis Equipment & Supplies, with taxonomy code 332BD1200X.

When was this NPI record last updated?

The NPPES record for End Stage Renal Disease Home Care Provider Agency was last updated on September 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.