Everglades Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

EVERGLADES DIALYSIS LLC

Doing business as

Grayling Home Training

Practice address

125 E Michigan Ave
Grayling, MI 49738-1740

Phone

(989) 344-0805

Fax

(989) 344-0785

NPI assigned

Mar 20, 2013

Last updated

Nov 13, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grayling Home Training Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

DaVita Grayling Home Training PDCCN 232692

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Aug 5, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Munson Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Traverse City, MI
  • NPI 1477664993

  Member Of

  NPD member
• Munson Medical Center

  • Orthopaedic Trauma Physician
  • Traverse City, MI
  • NPI 1992307052

  Member Of

  NPD member
• Total Renal Care Inc

  dba TRC Children's Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chicago, IL
  • NPI 1396704508

  Member Of

  NPD member

Locations

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Emily Dryer

  • Nephrology Physician
  • Saint Joseph, MI
  • NPI 1437579992

  Dialysis facility

  Care Compare affiliation Name & address match
• Adeel Khan, M.D.

  • Nephrology Physician
  • Midland, MI
  • NPI 1467481465

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1043552805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATT: L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E MICHIGAN AVE",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497381740",
            "telephone_number": "989-344-0805",
            "fax_number": "989-344-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGLADES DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043552805",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grayling Home Training",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grayling Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Anne Duell, FNP
• Joan L Eddy, PA
• Brianna Edson, PA-C
• Jeffrey B Emmons, RPH
• Angela M Erber, MSN, CNM
• Family Fare, LLC (Family Fare Pharmacy 1511)
• Richard W Febey, P.T.
• Jessica Lynn Felarca, LCSW, LMSW-C
• Barry Wyllys Fenn, DDS
• Keith Finley, M.A., BCBA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Grayling, MI
• Providers in Grayling, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.