OrganizationActive
Champion Dialysis Center LLC
NPI 1063753358 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Warren, OH
Provider details
- NPI number
- 1063753358
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sara Brady, Chief Nursing Officer(208) 371-7878
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4554 Mahoning Ave Nw
Warren, OH 44483-1437
Phone: (330) 847-0189
Fax: (330) 847-0194
Street-level locationGet directions
Mailing address
4554 Mahoning Ave Nw
Warren, OH 44483-1437
Registry dates
- Enumerated
- 2013-03-12
- Last updated
- 2023-01-13
- Certified
- 2023-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.