PHOENIX HOME DIALYSIS
NPI 1790969681
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Glendale, AZ

NPI Status: Active since December 27, 2007

Contact Information

20325 N 51ST AVE
BLDG 11 STE 184
GLENDALE, AZ
ZIP 85308
Phone: (623) 533-3836
Fax: (623) 533-4033

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment

About PHOENIX HOME DIALYSIS

This page provides the complete NPI Profile along with additional information for Phoenix Home Dialysis, a provider established in Glendale, Arizona operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1790969681 assigned on December 2007. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Phoenix Home Dialysis. The authorized official of this NPI record is Thomas O Usilton Jr. (Sr Vice President)

NPI
1790969681
Provider Legal Name
SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC
Other Organization Name
PHOENIX HOME DIALYSIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
20325 N 51ST AVE BLDG 11 STE 184 GLENDALE, AZ 85308
Location Phone
(623) 533-3836
Location Fax
(623) 533-4033
Mailing Address
5200 VIRGINIA WAY STE 400 L&C BRENTWOOD, TN 37027
Mailing Phone
(615) 320-4435
Mailing Fax
(623) 533-4033
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2007
Last Update Date
01-10-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THOMAS O USILTON JR.

Authorized Official Title
SR VICE PRESIDENT
Authorized Official Phone
(770) 541-7922

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
032604MEDICARE OSCAR/CERTIFICATION (06) 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790969681, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 1 + 8 + 6 + 1 + 8 + 6 + 1 + 6 + 24 = 79

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1790969681.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
20325 N 51ST AVE, SUITE 170
GLENDALE, AZ 85308
Chiropractor
20325 N 51ST AVE, #108
GLENDALE, AZ 85308
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
20325 N 51ST AVE, BUILDING 11 SUITE 184
GLENDALE, AZ 85308
Physical Therapist
20325 N 51ST AVE, STE 146
GLENDALE, AZ 85308
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
20325 N 51ST AVE, BUILDING 11, SUITE 186
GLENDALE, AZ 85308
Clinic/Center (Primary Care)
20325 N 51ST AVE, SUITE 100
GLENDALE, AZ 85308
Specialist
20325 N 51ST AVE, BLDG 8 SUITE 160
GLENDALE, AZ 85308
Chiropractor
20325 N 51ST AVE, 108
GLENDALE, AZ 85308
Nurse Practitioner (Adult Health)
20325 N 51ST AVE, SUITE 160 BUILDING 8
GLENDALE, AZ 85308
Urology
20325 N 51ST AVE, STE 102
GLENDALE, AZ 85308
Community/Behavioral Health
20325 N 51ST AVE, SUITE #140
GLENDALE, AZ 85308
Nurse Practitioner (Family)
20325 N 51ST AVE, 160
GLENDALE, AZ 85308
Dietitian, Registered
20325 N 51ST AVE, SUITE 166
GLENDALE, AZ 85308
Pediatrics
20325 N 51ST AVE, BUILDING 3, SUITE 116
GLENDALE, AZ 85308
Dietitian, Registered
20325 N 51ST AVE, BUILDING 9 SUITE 166
GLENDALE, AZ 85308
Dentist
20325 N 51ST AVE, UNIT 156
GLENDALE, AZ 85308
Physician Assistant
20325 N 51ST AVE, 106
GLENDALE, AZ 85308
Physical Therapy Assistant
20325 N 51ST AVE, SUITE 160
GLENDALE, AZ 85308
Physical Therapist (Orthopedic)
20325 N 51ST AVE, BLDG 6, SUITE 148
GLENDALE, AZ 85308
Clinic/Center (Occupational Medicine)
20325 N 51ST AVE, 112
GLENDALE, AZ 85308

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790969681, enumerated as an "organization" on December 27, 2007.

The provider is located at 20325 N 51ST AVE BLDG 11 STE 184 GLENDALE, AZ 85308 and the phone number is (623) 533-3836.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.