Organization · Type 2 NPI

North Gulfport Home Program, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Gulfport, MS

NPI number 1801216684 Active

Practice location

3301 25th Ave
Gulfport, MS 39501-5910

Fax (228) 867-2466

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...

Another provider at this address

FMS Gulfport, LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Gulfport, MS NPI 1952743049

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

See all in Gulfport →

NPI record

NPI: 1801216684
Entity type: Organization (Type 2)
Issued: Apr 21, 2014
Last updated: Sep 1, 2026
Status: Active
Subpart: Yes of Fresenius Medical Care Holdings, Inc.

Other names

<unavail>
North Gulfport Home Program · doing business as

Authorized official

Denise Wright
Vice President
(781) 676-5200

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.

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About NPI 1801216684

North Gulfport Home Program, LLC's National Provider Identifier is 1801216684, issued on Apr 21, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Gulfport, MS. The record was last updated on Sep 1, 2026.