NORTH GULFPORT HOME PROGRAM
NPI 1801216684
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Gulfport, MS

Active since April 21, 2014CLIA 25D2072196 · Waiver
2/5
Overall Rating
3301 25TH AVE, GULFPORT, MS 39501(228) 867-2637(228) 867-2466 Get Directions Write a Review

NPPES record last updated: October 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 14, 2023, Aug 27, 2021 (2 updates tracked since 2021).

About North Gulfport Home Program NPPES

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

NORTH GULFPORT HOME PROGRAM (NPI 1801216684) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Gulfport, Mississippi and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through January 26, 2028 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1801216684
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameNORTH GULFPORT HOME PROGRAM, LLC
Location Address3301 25TH AVEGulfport, MS 39501-5910
Mailing Address3301 25th AveGulfport, MS 39501-5910 · (228) 867-2637 · Fax (228) 867-2466
Fax(228) 867-2466
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialBarry L. BlantonVice President · (781) 699-9000
Enumeration DateApril 21, 2014
Last NPPES UpdateOctober 14, 20232 updates tracked since enumeration
NPPES CertifiedOctober 14, 2023
NPI 1801216684 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
3301 25TH AVE, Gulfport, MS 39501

Other Names 1

Doing Business AsNorth Gulfport Home Program

Accepted Insurance

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 25D2072196

North Gulfport Home Program, LLC · Gulfport, MS
Active · expires Jan 26, 2028
CLIA Number25D2072196
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorDr. Douglas C. Lanier
Laboratory Phone(228) 436-9819
Laboratory LocationNorth Gulfport Home Program, LLC3301 25th Avenue, Gulfport, MS 39501
CLIA data matches this NPI record on: Address Name
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 FMC North Gulfport (CMS certification number 252563), from CMS Care Compare.

FMC North Gulfport

Dialysis facility · Gulfport, MS
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainFresenius Medical Care
CMS Certification Number252563
ESRD NetworkNetwork 8
Hemodialysis Stations20
Medicare-Certified SinceOctober 11, 2000
Location2525 33rd STREETGulfport, MS 39501 · Harrison County
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3301 25TH AVE
GULFPORT, MS 39501

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 North Gulfport Home Program, LLC's NPI number?

The NPI number for North Gulfport Home Program, LLC is 1801216684. It was assigned to this organization in the NPPES registry on April 21, 2014. The provider is doing business as North Gulfport Home Program.

Where is North Gulfport Home Program, LLC located?

North Gulfport Home Program, LLC is located at 3301 25th Ave, Gulfport, MS 39501. The listed phone number is (228) 867-2637.

What is North Gulfport Home Program, 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 North Gulfport Home Program, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2072196) is associated with this NPI, valid through January 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is North Gulfport Home Program, LLC a Medicare-certified dialysis facility?

Yes. FMC North Gulfport is a Medicare-certified dialysis facility, certified since October 11, 2000.

What quality rating does North Gulfport Home Program, LLC have?

CMS rates FMC North Gulfport 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does North Gulfport Home Program, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 7 other insurers list North Gulfport Home Program, 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 North Gulfport Home Program, LLC was last updated on October 14, 2023. 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.