Leoti Dialysis LLC

Primary specialty

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

Legal business name

LEOTI DIALYSIS LLC

Doing business as

Chace Lake Dialysis

Practice address

1837 Montgomery Hwy Ste 109
Hoover, AL 35244-2508

Phone

(659) 272-0001

Fax

(659) 272-0019

NPI assigned

Jun 1, 2023

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 names 1

• Chace Lake Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Listed as

DaVita Chace Lake DialysisCCN 012723

Ownership

Profit

Certified

Sep 4, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

12

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 2

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

• Dva Healthcare Renal Care Inc

  dba Three Chopt Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Richmond, VA
  • NPI 1154385375

  Member Of

  NPD member
• Isd Renal Inc

  dba South Dean Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Englewood, NJ
  • NPI 1245891670

  Member Of

  NPD member

Locations

Affiliated clinicians 3

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

• Michael Allon

  • Nephrology Physician
  • Birmingham, AL
  • NPI 1043265762

  Dialysis facility

  Care Compare affiliation Name & address match
• Deepak Chandramohan, M.D

  • Nephrology Physician
  • Tuscaloosa, AL
  • NPI 1942598388

  Dialysis facility

  Care Compare affiliation Name & address match
• Devansh Himanshu Patel, MD

  • Nephrology Physician
  • Birmingham, AL
  • NPI 1295295244

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1114610318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATT: L&C SPECIALIST",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 MONTGOMERY HWY STE 109",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442508",
            "telephone_number": "659-272-0001",
            "fax_number": "659-272-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEOTI DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chace Lake Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chace Lake Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Makayla Nicole Leite
• William Andrew Lemons Jr., MD
• Kelli Lennon, PHARMD
• Elizabeth Kate Lenoir
• Shatwaina Lester
• Angela H Lewis, PHARMD
• Martia Lewis
• Life Theory LLC
• Jose Oliveira Lima, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hoover, AL
• Providers in Hoover, AL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.