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ELLICOTT KIDNEY CENTER LLC
NPI 1255754677
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Ellicott City, MD

Active since January 22, 2014
3000 N RIDGE RD, SUITE A, ELLICOTT CITY, MD 21043(410) 465-0273(410) 465-0360 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2019, Jun 23, 2017 (2 updates tracked since 2017).

About Ellicott Kidney Center Llc NPPES

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

ELLICOTT KIDNEY CENTER LLC (NPI 1255754677) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Ellicott City, Maryland and active in the NPI registry since January 2014. The organization lists Jason Boucher, Cfo, as its authorized official.

NPPES Registry Identity

NPI1255754677
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameELLICOTT KIDNEY CENTER LLC
Location Address3000 N RIDGE RD, SUITE AEllicott City, MD 21043-3311
Mailing Address3000 N Ridge Rd, Suite AEllicott City, MD 21043-3311 · (410) 465-0273 · Fax (410) 465-0360
Phone(410) 465-0273
Fax(410) 465-0360
Organization SubpartNo
Authorized OfficialJason BoucherCfo · (978) 922-3080
Enumeration DateJanuary 22, 2014
Last NPPES UpdateMarch 21, 20192 updates tracked since enumeration
✔ NPI 1255754677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
3000 N RIDGE RD, Ellicott City, MD 21043
Open in Google Maps ↗

Other Identifiers 1

Medicaid422934700MD

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. GRACIE ANN SCHROEN PTA
Physical Therapy Assistant
3000 N RIDGE RD
ELLICOTT CITY, MD 21043
Howard County (410) 461-7577
APEX HEALTHCARE, LLC
Internal Medicine
3000 N RIDGE RD
ELLICOTT CITY, MD 21043
Howard County (410) 461-7577
CATHERINE DIGIOIA
Occupational Therapy Assistant
3000 N RIDGE RD
ELLICOTT CITY, MD 21043
Howard County (410) 461-7577
MR. JURIEL MAROLLANO PALABRICA
Physical Therapist
3000 N RIDGE RD
ELLICOTT CITY, MD 21043
Howard County (410) 370-1279
APEX HEALTHCARE, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3000 N RIDGE RD
ELLICOTT CITY, MD 21043
Howard County (410) 461-7577
SPIRITUAL HEALING, LLC
Nurse Practitioner (Psychiatric/Mental Health)
3000 N RIDGE RD
ELLICOTT CITY, MD 21043
Howard County (410) 461-7577
MARION KAWECKI
Occupational Therapist
3000 N RIDGE RD
ELLICOTT CITY, MD 21043
Howard County (410) 461-7577
MRS. LORI KRISTEN WHITWORTH OTR
Occupational Therapist
3000 N RIDGE RD
ELLICOTT CITY, MD 21043
Howard County (410) 480-1547

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 Ellicott Kidney Center LLC's NPI number?

The NPI number for Ellicott Kidney Center LLC is 1255754677. It was assigned to this organization in the NPPES registry on January 22, 2014.

Where is Ellicott Kidney Center LLC located?

Ellicott Kidney Center LLC is located at 3000 N Ridge Rd Suite A, Ellicott City, MD 21043. The listed phone number is (410) 465-0273.

What is Ellicott Kidney Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Ellicott Kidney Center LLC was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.