Ellicott Kidney Center LLC
NPI 1255754677 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Ellicott City, MD
Ellicott Kidney Center LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Ellicott City, MD (NPI 1255754677).
Provider details
- NPI number
- 1255754677
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Boucher, Cfo(978) 922-3080
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Registry dates
- Enumerated
- 2014-01-22
- Last updated
- 2019-03-21
Frequently asked questions
- What is Ellicott Kidney Center LLC's NPI number?
- Ellicott Kidney Center LLC's National Provider Identifier (NPI) is 1255754677, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ellicott Kidney Center LLC?
- Ellicott Kidney Center LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ellicott Kidney Center LLC located?
- Ellicott Kidney Center LLC's practice location on file with NPPES is 3000 N Ridge Rd, Ellicott City, MD 21043-3311.
- What is Ellicott Kidney Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Ellicott Kidney Center LLC is (410) 465-0273.
- Who is the authorized official for Ellicott Kidney Center LLC?
- The authorized official listed on Ellicott Kidney Center LLC's NPPES record is Jason Boucher, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ellicott Kidney Center LLC's NPI active?
- Yes — Ellicott Kidney Center LLC's NPI (1255754677) is active in the NPPES registry as of the last update on 2019-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.