Organization · Type 2 NPI

Grand Home Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Surprise, AZ

NPI number 1780863878 Active

Practice location

14671 W Mountain View Blvd, Ste 106
Surprise, AZ 85374-4840

Call (623) 546-6120 Map

Fax (623) 546-2693

Mailing address

5200 Virginia Way, 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...

Other end-stage renal disease (esrd) treatment clinic/center providers in Surprise

See all in Surprise →

NPI record

NPI: 1780863878
Entity type: Organization (Type 2)
Issued: Oct 25, 2007
Last updated: Jul 28, 2026
Status: Active

Other names

<unavail>
Grand Home Dialysis · doing business as
Grand Home Dialysis · doing business as

Authorized official

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

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1780863878

Grand Home Dialysis LLC's National Provider Identifier is 1780863878, issued on Oct 25, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Surprise, AZ. The record was last updated on Jul 28, 2026.