Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellicott City Dialysis Center LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1881716785

Ellicott City Dialysis Center LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ellicott City, Maryland. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3419 Plum Tree Dr Suites 103-106
Ellicott City, MD 21042-3805
Phone: (410) 750-8426
Fax: (410) 750-8428
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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 number1881716785
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Boucher — Cfo · (978) 922-3080
NPI enumeratedApril 4, 2007
Last updated in NPPESMarch 22, 2019
Mailing address3419 Plum Tree Dr, Suites 103-106, Ellicott City, MD 21042-3805

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