ELLICOTT CITY DIALYSIS CENTER LLC
NPI 1881716785
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Ellicott City, MD

Active since April 04, 2007CLIA 21D1070823 · Waiver
3/5
Overall Rating
3419 PLUM TREE DR, SUITES 103-106, ELLICOTT CITY, MD 21042(410) 750-8426(410) 750-8428 Get Directions Write a Review

NPPES record last updated: March 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 22, 2019, Mar 16, 2017 (2 updates tracked since 2017).

About Ellicott City Dialysis Center Llc NPPES

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

ELLICOTT CITY DIALYSIS CENTER LLC (NPI 1881716785) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Ellicott City, Maryland and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through July 9, 2027 and lists Jason Boucher, Cfo, as its authorized official.

NPPES Registry Identity

NPI1881716785
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameELLICOTT CITY DIALYSIS CENTER LLC
Location Address3419 PLUM TREE DR, SUITES 103-106Ellicott City, MD 21042-3805
Mailing Address3419 Plum Tree Dr, Suites 103-106Ellicott City, MD 21042-3805 · (410) 750-8426 · Fax (410) 750-8428
Fax(410) 750-8428
Organization SubpartNo
Authorized OfficialJason BoucherCfo · (978) 922-3080
Enumeration DateApril 4, 2007
Last NPPES UpdateMarch 22, 20192 updates tracked since enumeration
NPI 1881716785 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
3419 PLUM TREE DR, Ellicott City, MD 21042

Other Identifiers 1

Medicaid412495200MD

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 21D1070823

Ellicott City Dialysis · Ellicott City, MD
Active · expires Jul 9, 2027
CLIA Number21D1070823
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorStephen M. Zemel
Laboratory Phone(410) 750-8426
Laboratory LocationEllicott City Dialysis3419 Plumtree Drive, Ellicott City, MD 21042
CLIA data matches this NPI record on: 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 DaVita Ellicott City Dialysis (CMS certification number 212560), from CMS Care Compare.

DaVita Ellicott City Dialysis

Dialysis facility · Ellicott City, MD
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number212560
ESRD NetworkNetwork 5
Hemodialysis Stations18
Medicare-Certified SinceMay 25, 1995
Location3419 PLUM TREE DRIVE STE 103Ellicott City, MD 21042 · Howard County
Services Offered
In-center hemodialysis

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
75% 5/5
Dialysis center care and operations
Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.
65% 3/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
88% 5/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
58% 3/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
64% 3/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
57% 2/5
Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

Other Providers at the Same Location NPPES

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

Dentist
3419 PLUM TREE DR, SUITE 100
ELLICOTT CITY, MD 21042

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 City Dialysis Center LLC's NPI number?

The NPI number for Ellicott City Dialysis Center LLC is 1881716785. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is Ellicott City Dialysis Center LLC located?

Ellicott City Dialysis Center LLC is located at 3419 Plum Tree Dr Suites 103-106, Ellicott City, MD 21042. The listed phone number is (410) 750-8426.

What is Ellicott City Dialysis 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.

Does Ellicott City Dialysis Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1070823) is associated with this NPI, valid through July 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Ellicott City Dialysis Center LLC a Medicare-certified dialysis facility?

Yes. DaVita Ellicott City Dialysis is a Medicare-certified dialysis facility, certified since May 25, 1995.

What quality rating does Ellicott City Dialysis Center LLC have?

CMS rates DaVita Ellicott City Dialysis 3 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 Ellicott City Dialysis Center LLC was last updated on March 22, 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.