End Stage Renal Disease Home Care Provider Agency
NPI 1083950984 · Dialysis Equipment & Supplies (DME) · Buckeye, AZ
End Stage Renal Disease Home Care Provider Agency is a Dialysis Equipment & Supplies (DME) organization in Buckeye, AZ (NPI 1083950984).
Provider details
- NPI number
- 1083950984
- Entity type
- Organization
- Primary specialty
- Dialysis Equipment & Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- William Davis, Owner/Supply(414) 759-8587
Specialties & taxonomies
Suppliers
Profile Score
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
Mailing address
Other names (DBA / former)
- Other name
- None
Registry dates
- Enumerated
- 2012-12-20
- Last updated
- 2014-09-11
Frequently asked questions
- What is End Stage Renal Disease Home Care Provider Agency's NPI number?
- End Stage Renal Disease Home Care Provider Agency's National Provider Identifier (NPI) is 1083950984, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is End Stage Renal Disease Home Care Provider Agency?
- End Stage Renal Disease Home Care Provider Agency is classified in the NPPES registry as Dialysis Equipment & Supplies (DME) (Suppliers).
- Where is End Stage Renal Disease Home Care Provider Agency located?
- End Stage Renal Disease Home Care Provider Agency's practice location on file with NPPES is 22356 W Lasso Ln, Buckeye, AZ 85326-5979.
- What is End Stage Renal Disease Home Care Provider Agency's phone number?
- The practice phone number listed in the NPPES registry for End Stage Renal Disease Home Care Provider Agency is (623) 210-2710.
- Who is the authorized official for End Stage Renal Disease Home Care Provider Agency?
- The authorized official listed on End Stage Renal Disease Home Care Provider Agency's NPPES record is William Davis, Owner/Supply. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is End Stage Renal Disease Home Care Provider Agency's NPI active?
- Yes — End Stage Renal Disease Home Care Provider Agency's NPI (1083950984) is active in the NPPES registry as of the last update on 2014-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.