Organization · Type 2 NPI

Fremont Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bloomfield Hills, MI

NPI number 1467890616 Active

Practice location

42886 Woodward Ave
Bloomfield Hills, MI 48304-5033

Call (248) 334-7501 Map

Fax (248) 334-7384

Mailing address

5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1467890616
Entity type: Organization (Type 2)
Issued: Jun 10, 2013
Last updated: Feb 10, 2026
Status: Active

Other names

<unavail>
Bloomfield Hills Home Dialysis · doing business as
Bloomfield Hills Home Dialysis · doing business as

Authorized official

Samuel T. Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1467890616

Fremont Dialysis LLC's National Provider Identifier is 1467890616, issued on Jun 10, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bloomfield Hills, MI. The record was last updated on Feb 10, 2026.