Great Lakes Dialysis, L.L.C.
NPI 1720095417 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Detroit, MI
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Lakes Dialysis, L.L.C. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Detroit, MI (NPI 1720095417).
Provider details
- NPI number
- 1720095417
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Morufu Alausa, Authorized Official / Cmo(815) 741-6830
- License
- 4301072901 (MI)
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
19 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)
- Doing business as
- Dialysis Care Center Great Lakes East
Registry dates
- Enumerated
- 2006-08-02
- Last updated
- 2025-04-07
- Certified
- 2025-04-07
Frequently asked questions
- What is Great Lakes Dialysis, L.L.C.'s NPI number?
- Great Lakes Dialysis, L.L.C.'s National Provider Identifier (NPI) is 1720095417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Dialysis, L.L.C.?
- Great Lakes Dialysis, L.L.C. is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Great Lakes Dialysis, L.L.C. located?
- Great Lakes Dialysis, L.L.C.'s practice location on file with NPPES is 14614 Kercheval St, Detroit, MI 48215-2814.
- What is Great Lakes Dialysis, L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Dialysis, L.L.C. is (313) 308-4200.
- Does Great Lakes Dialysis, L.L.C. accept Medicare?
- Great Lakes Dialysis, L.L.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Lakes Dialysis, L.L.C.?
- The authorized official listed on Great Lakes Dialysis, L.L.C.'s NPPES record is Morufu Alausa, Authorized Official / Cmo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Dialysis, L.L.C.'s NPI active?
- Yes — Great Lakes Dialysis, L.L.C.'s NPI (1720095417) is active in the NPPES registry as of the last update on 2025-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.