OrganizationActive
Ppn Home Dialysis LLC
NPI 1366779191 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Colorado Springs, CO
Provider details
- NPI number
- 1366779191
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Brad Yuan, Medical Director/Owner
Practice location
2002 Lelaray St
Suite 100
Colorado Springs, CO 80909-2804
Phone: (719) 632-7641
Fax: (719) 632-2925
Mailing address
2002 Lelaray St
Colorado Springs, CO 80909-2804
Registry dates
- Enumerated
- 2009-11-16
- Last updated
- 2009-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.