Ellicott City Dialysis Center LLC
NPI 1881716785 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Ellicott City, MD
Ellicott City Dialysis Center LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Ellicott City, MD (NPI 1881716785).
Provider details
- NPI number
- 1881716785
- 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
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
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2019-03-22
Frequently asked questions
- What is Ellicott City Dialysis Center LLC's NPI number?
- Ellicott City Dialysis Center LLC's National Provider Identifier (NPI) is 1881716785, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ellicott City Dialysis Center LLC?
- Ellicott City Dialysis Center LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ellicott City Dialysis Center LLC located?
- Ellicott City Dialysis Center LLC's practice location on file with NPPES is 3419 Plum Tree Dr, Ellicott City, MD 21042-3805.
- What is Ellicott City Dialysis Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Ellicott City Dialysis Center LLC is (410) 750-8426.
- Who is the authorized official for Ellicott City Dialysis Center LLC?
- The authorized official listed on Ellicott City Dialysis 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 City Dialysis Center LLC's NPI active?
- Yes — Ellicott City Dialysis Center LLC's NPI (1881716785) is active in the NPPES registry as of the last update on 2019-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.