Dva Renal Healthcare Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center (organization) practicing in Roxboro, North Carolina. The National Provider Identifier (NPI) is #1760441349, which was assigned on March 21, 2006, and the registration record was last updated on April 4, 2025. The practitioner's main practice location is at 1005 Ridge Rd, Roxboro, NC 27573-4513; the contact telephone number is 3365985196, and the fax number is 3365985054. The primary taxonomy of Dva Renal Healthcare Inc is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), with specialization in End-Stage Renal Disease (ESRD) Treatment. The authorized official for Dva Renal Healthcare Inc is Samuel T Wey (Vp, Licensure & Certification). Dva Renal Healthcare Inc is licensed to practice in the state of Virginia.
| NPI | 1760441349 |
| Entity Type | Organization |
| Organization Name | DVA RENAL HEALTHCARE INC |
| Provider Name | DVA RENAL HEALTHCARE INC |
| Practice Address |
1005 Ridge Rd Roxboro NC 27573-4513 |
| Practice Telephone | 3365985196 |
| Practice Fax Number | 3365985054 |
| Mailing Address |
5200 Virginia Way L&C Dept Brentwood TN 37027-7569 |
| Certification Date | 2025-04-04 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2025-04-04 |
| Is Organization Subpart | N |
| Official Name | SAMUEL T WEY |
| Official Title | VP, LICENSURE & CERTIFICATION |
| Telephone | 6153416641 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 261QE0700X | Clinic/Center | End-Stage Renal Disease (ESRD) Treatment | VA |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 3412562 | NC | MEDICAID | |
| 1760441349 | VA | MEDICAID |
| Other Organization Name | Type |
|---|---|
| Roxboro Dialysis | Doing Business As Name |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Dva Renal Healthcare Inc | 19395 W Capitol Dr Bldg C, Brookfield, WI 53045-2736 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-04-17 |
| Dva Renal Healthcare Inc | 1112 Washington Sq, Washington, MO 63090-5336 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-03-31 |
| Dva Renal Healthcare Inc | 4307 Western Park Pl, Durham, NC 27705-1204 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-03-23 |
| Dva Renal Healthcare Inc | 2833 Wooten Boulevard Sw, Wilson, NC 27893-8625 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-03-24 |
| Dva Renal Healthcare Inc | 300 B 22nd St South, Birmingham, AL 35233-2209 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2013-05-30 |
| Dva Renal Healthcare Inc | 38 Tyler St, Ste 100, Nashua, NH 03060-2912 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-04-04 |
| Dva Renal Healthcare Inc | 3363 Nw 167th St, Miami Gardens, FL 33056-4254 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-04-26 |
| Dva Renal Healthcare Inc | 115 N Virginia St, Hopkinsville, KY 42240-3143 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-04-10 |
| Dva Renal Healthcare Inc | 101 W Woodcroft Pkwy, Durham, NC 27713-9471 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2011-02-03 |
| Dva Renal Healthcare Inc | 2530 Anthem Village Dr, Henderson, NV 89052-5548 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-04-04 |
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| Code | 261QE0700X |
| Taxonomy | End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Grouping | Ambulatory Health Care Facilities |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Lifeline Dialysis South Gate LLC | 8716 Garfield Ave Unit 100, South Gate, CA 90280-3723 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2025-09-03 |
| Rainbow Dialysis LLC | 3288 Moanalua Rd Rm C2-59, Honolulu, HI 96819-1469 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2025-08-06 |
| Aim Community Health Clinic LLC | 2838 1st Ave S, Minneapolis, MN 55408-2310 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2025-10-14 |
| Total Renal Care, Inc. | 4303 S 2700 W, Taylorsville, UT 84129-2125 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2025-08-27 |
| Flamingo Dialysis Center Iv LLC | 901 E 10th Ave Ste 17, Hialeah, FL 33010-3768 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2025-11-05 |
| Plumeria Dialysis LLC | 9223 Broadway St Ste 109, Pearland, TX 77584-9759 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2025-09-29 |
| Kpc-Pc Dialysis LLC | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2025-10-28 |
| Bio-Medical Applications of West Virginia, Inc. | 8 Lee St Ste 4, Moorefield, WV 26836-1091 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2025-10-01 |
| Tidal Dialysis LLC | 336 Himrod St, Brooklyn, NY 11237-4871 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2025-07-31 |
| Bio-Medical Applications of Florida, Inc. | 13501 Sw 268th Street, Unit B19, Miami, FL 33032 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2025-10-15 |
| Find all providers with the same taxonomy | |||
| Street Address |
1005 RIDGE RD |
| City | ROXBORO |
| State | NC |
| Zip Code | 27573-4513 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Noah J Wichman | 107 Weeks Dr, Roxboro, NC 27573-3933 | Physician Assistant | 2006-03-17 |
| Catherine Brandi Horne Mcdaniel | 799 Doctors Ct, Roxboro, NC 27573-4571 | Physical Therapist | 2009-08-27 |
| Sonalee Patel | 107 Weeks Dr, Roxboro, NC 27573-3929 | Family Medicine Physician | 2025-07-22 |
| Pcgh, Inc | 615 Professional Dr, Roxboro, NC 27573-4543 | Developmentally Disabled Services Day Training Agency | 2013-09-25 |
| Pcgh, Inc | 202 N Main Street, Roxboro, NC 27573-0721 | Developmentally Disabled Services Day Training Agency | 2007-01-29 |
| Pcgh, Inc | 202 N. Main Street, Roxboro, NC 27573-0721 | Mental Illness Community Based Residential Treatment Facility | 2007-01-29 |
| Pcgh, Inc | 202 N. Main Street, Roxboro, NC 27573-0721 | Mental Illness Community Based Residential Treatment Facility | 2007-01-30 |
| Pcgh, Inc | 202 N. Main Street, Roxboro, NC 27573-0721 | Mental Illness Community Based Residential Treatment Facility | 2007-01-30 |
| Pcgh, Inc | 202 N. Main Street, Roxboro, NC 27573-0721 | Mental Illness Community Based Residential Treatment Facility | 2007-01-30 |
| Pcgh, Inc | 607 Henry Street, Roxboro, NC 27573 | Community/Behavioral Health Agency | 2013-09-12 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Dva Renal Healthcare, Inc. | 1741 Commerce Dr Nw Ste 405, Atlanta, GA 30318-3107 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-03-14 |
| Dva Healthcare Renal Care Inc | 300 First Executive Ave, Ste A, Saint Peters, MO 63376-1655 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-03-31 |
| Dva Healthcare Renal Care Inc | 1125 S Burnside Ave, Gonzales, LA 70737-4248 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-03-18 |
| Dva Healthcare Renal Care Inc | 5201 Airport Hwy, Toledo, OH 43615-6800 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-04-14 |
| Dva Healthcare Renal Care Inc | 2410 Nw Edenbower Blvd, Ste 178, Roseburg, OR 97471-8830 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-04-04 |
| Dva Renal Healthcare, Inc. | 2850 34th St S, Saint Petersburg, FL 33711-3817 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-03-11 |
| Dva Healthcare Renal Care Inc | 871 Martin Luther King Jr Way, Ste 100, Harrisonburg, VA 22801-4323 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-04-14 |
| Dva Healthcare Renal Care Inc | 783 Cortaro Dr, Ruskin, FL 33573-6812 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-03-11 |
| Dva Healthcare Renal Care Inc | 53 Scranton Connector, Brunswick, GA 31525-1862 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-03-14 |
| Dva Renal Healthcare, Inc. | 116 Sturtevant St Ste 2, Orlando, FL 32806-2021 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-03-14 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |