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DEARBORN HOME DIALYSIS
NPI 1619386489
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Dearborn, MI

Active since August 06, 2014
22030 PARK ST, DEARBORN, MI 48124(313) 792-7343(313) 792-8341 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 1, 2024, Feb 9, 2021, Jan 28, 2019 and 1 more (4 updates tracked since 2019).

About Dearborn Home Dialysis NPPES

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

DEARBORN HOME DIALYSIS (NPI 1619386489) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Dearborn, Michigan and active in the NPI registry since August 2014. The organization lists Samuel T Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1619386489
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameLASSEN DIALYSIS, LLC
Location Address22030 PARK STDearborn, MI 48124-2854
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569
Phone(313) 792-7343
Fax(313) 792-8341
Organization SubpartNo
Authorized OfficialSamuel T WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateAugust 6, 2014
Last NPPES UpdateAugust 1, 20244 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1619386489 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
22030 PARK ST, Dearborn, MI 48124
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Other Names 1

Doing Business AsDearborn Home Dialysis

Other Identifiers 1

Medicaid1619686489MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

ZAFER HUSAMI MD
Internal Medicine (Nephrology)
22030 PARK ST, STE 103
DEARBORN, MI 48124
Wayne County (313) 562-2611
DVA HEALTHCARE RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
22030 PARK ST
DEARBORN, MI 48124
Wayne County (313) 792-7343

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 Lassen Dialysis, LLC's NPI number?

The NPI number for Lassen Dialysis, LLC is 1619386489. It was assigned to this organization in the NPPES registry on August 6, 2014. The provider is doing business as Dearborn Home Dialysis.

Where is Lassen Dialysis, LLC located?

Lassen Dialysis, LLC is located at 22030 Park St, Dearborn, MI 48124. The listed phone number is (313) 792-7343.

What is Lassen Dialysis, 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.

What insurance does Lassen Dialysis, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 9 other insurers list Lassen Dialysis, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lassen Dialysis, LLC was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.