Renal Treatment Centers-Southeast, LP.

Primary specialty

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

License

089 Issued in LA

Legal business name

RENAL TREATMENT CENTERS-SOUTHEAST, LP.

Practice address

2108 Avenue F
Bogalusa, LA 70427-5027

Phone

(985) 735-7811

Fax

(985) 735-1501

NPI assigned

Mar 18, 2006

Organization subpart

No

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

Authorized official

Name

Samuel T Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bogalusa Kidney Care Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

DaVita Bogalusa Kidney CareCCN 192540

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Nov 12, 1986

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

15

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

CLIA laboratory certificates

Tax ID family

Degray Dialysis137 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 9

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Renal Treatment Centers - Southeast, LP

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • New Orleans, LA
  • NPI 1942269014
  NPD tax ID
• Renal Treatment Centers Southeast LP

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Slidell, LA
  • NPI 1144289075
  NPD tax ID
• Renal Treatment Centers Southeast LP

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Denham Springs, LA
  • NPI 1790723856
  NPD tax ID
• Renal Treatment Centers Southeast LP

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Independence, LA
  • NPI 1861451924
  NPD tax ID
• Renal Treatment Centers-Southeast, LP

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Harvey, LA
  • NPI 1659549616
  NPD tax ID
• Renal Treatment Centers-Southeast, LP.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Covington, LA
  • NPI 1053370106
  NPD tax ID
• Renal Treatment Centers-Southeast, LP.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Gretna, LA
  • NPI 1417975442
  NPD tax ID
• Renal Treatment Centers-Southeast, LP.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Slidell, LA
  • NPI 1760441836
  NPD tax ID
• Renal Treatment Centers-Southeast, LP.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Franklinton, LA
  • NPI 1912966839
  NPD tax ID

Member of 1

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

• Bainbridge Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Worth, TX
  • NPI 1699041152

  Member Of

  NPD member

Affiliated clinicians 2

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

• Brandon K Bean, MD

  • Nephrology Physician
  • Covington, LA
  • NPI 1356427199

  Dialysis facility

  Care Compare affiliation Name & address match
• John C Simon, MD

  • Nephrology Physician
  • Covington, LA
  • NPI 1760489892

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1104885243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "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": "2108 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704275027",
            "telephone_number": "985-735-7811",
            "fax_number": "985-735-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL TREATMENT CENTERS-SOUTHEAST, LP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-18",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "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": "LA",
            "license": "089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1543276",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06774703",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bogalusa Kidney Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bogalusa Kidney Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Bogalusa, LA
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.