Ellenwood Dialysis Center, LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1235411406

Ellenwood Dialysis Center, LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ellenwood, Georgia. Medicare rates this dialysis facility 1 out of 5. Registered with an NPI since 2011.

CMS rating: 1 of 5
In the registry since: 2011

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

CMS quality rating

1 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 112847)

Practice location Address checks out

209 Bennette Blvd
Ellenwood, GA 30294-2785
Phone: (770) 996-6446
Fax: (678) 833-3981

Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary)	Taxonomy 261QE0700X

Record details

NPI number	1235411406
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Mohamad Kassem — Owner/Medical Director · (678) 392-6198
NPI enumerated	September 14, 2011
Last updated in NPPES	September 14, 2011
Mailing address	3580 Cameron Pkwy, Stockbridge, GA 30281-7816