IDAHO KIDNEY CENTER HOME PROGRAM
NPI 1295352391
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Idaho Falls, ID

Q: What is Fresenius Medical Care Idaho Falls, 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.

Q: What quality rating does Fresenius Medical Care Idaho Falls, LLC have?

CMS rates Idaho Kidney Center Home Program 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since July 06, 2020CLIA 13D2198365 · Waiver

1/5

Overall Rating

3193 S . FORK BLVD, IDAHO FALLS, ID 83402(208) 357-4010(208) 242-2329 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 20, 2023, Jan 5, 2022, Aug 25, 2021 and 2 more (5 updates tracked since 2020).

On this page

About Idaho Kidney Center Home Program NPPES

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

IDAHO KIDNEY CENTER HOME PROGRAM (NPI 1295352391) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Idaho Falls, Idaho and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1295352391

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameFRESENIUS MEDICAL CARE IDAHO FALLS, LLC

Location Address3193 S . FORK BLVDIdaho Falls, ID 83402-1296

Mailing Address3193 S . Fork BlvdIdaho Falls, ID 83402-1296 · (208) 357-4010 · Fax (208) 242-2329

Phone(208) 357-4010

Fax(208) 242-2329

Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.

Authorized OfficialBarry L. BlantonVice President · (781) 699-9000

Enumeration DateJuly 6, 2020

Last NPPES UpdateOctober 20, 20235 updates tracked since enumeration

NPPES CertifiedOctober 20, 2023

✔ NPI 1295352391 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

3193 S . FORK BLVD, Idaho Falls, ID 83402

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Other Names 1

Doing Business AsIdaho Kidney Center Home Program

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2198365

Idaho Kidney Center Home Program · Idaho Falls, ID

Active · expires Nov 1, 2026

CLIA Number13D2198365

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateNovember 2, 2024

Certificate Expiration DateNovember 1, 2026

Laboratory DirectorNaeem Rahim

Laboratory Phone(208) 357-4010

Laboratory LocationIdaho Kidney Center Home Program3193 South Fork Blvd, Idaho Falls, ID 83402

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Idaho Kidney Center Home Program (CMS certification number 132535), from CMS Care Compare.

Idaho Kidney Center Home Program

Dialysis facility · Idaho Falls, ID

1/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainFresenius Medical Care

CMS Certification Number132535

ESRD NetworkNetwork 16

Hemodialysis Stations10

Medicare-Certified SinceMay 17, 2021

Location3193 South Fork BoulevardIdaho Falls, ID 83402 · Bonneville County

Phone(208) 357-4010

Services Offered

In-center hemodialysis Peritoneal dialysis Home hemodialysis training

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 Fresenius Medical Care Idaho Falls, LLC's NPI number?

The NPI number for Fresenius Medical Care Idaho Falls, LLC is 1295352391. It was assigned to this organization in the NPPES registry on July 6, 2020. The provider is doing business as Idaho Kidney Center Home Program.

Where is Fresenius Medical Care Idaho Falls, LLC located?

Fresenius Medical Care Idaho Falls, LLC is located at 3193 S . Fork Blvd, Idaho Falls, ID 83402. The listed phone number is (208) 357-4010.

What is Fresenius Medical Care Idaho Falls, 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.

Does Fresenius Medical Care Idaho Falls, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2198365) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Fresenius Medical Care Idaho Falls, LLC a Medicare-certified dialysis facility?

Yes. Idaho Kidney Center Home Program is a Medicare-certified dialysis facility, certified since May 17, 2021.

What quality rating does Fresenius Medical Care Idaho Falls, LLC have?

CMS rates Idaho Kidney Center Home Program 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

When was this NPI record last updated?

The NPPES record for Fresenius Medical Care Idaho Falls, LLC was last updated on October 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.