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

Great Lakes Dialysis, LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1720095417

Great Lakes Dialysis, LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Detroit, Michigan. Medicare rates this dialysis facility 1 out of 5. Licensed in Michigan.

CMS rating
1 of 5
Licensed in
MI
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 232614)

Practice location Address checks out

14614 Kercheval St
Detroit, MI 48215-2814
Phone: (313) 308-4200
Fax: (313) 332-0334
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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 · Licence 4301072901 (MI)

Record details

NPI number1720095417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Morufu Alausa — Authorized Official / Cmo · (815) 741-6830
Other names Dialysis Care Center Great Lakes East
NPI enumeratedAugust 2, 2006
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing addressPo Box 428, Lockport, IL 60441-6428

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