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

Ellicott Kidney Center LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1255754677

Ellicott Kidney Center LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ellicott City, Maryland. Registered with an NPI since 2014.

In the registry since
2014
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

3000 N Ridge Rd Ste A
Ellicott City, MD 21043-3311
Phone: (410) 465-0273
Fax: (410) 465-0360
Show map & directions

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 number1255754677
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Boucher — Cfo · (978) 922-3080
NPI enumeratedJanuary 22, 2014
Last updated in NPPESMarch 21, 2019
Mailing address3000 N Ridge Rd, Suite A, Ellicott City, MD 21043-3311

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