Cowesett Dialysis LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Romeoville, IL
NPI 1124587019 · NPPES record last updated Aug 27, 2025
Key facts
- NPI
- 1124587019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- COWESETT DIALYSIS LLC
- Practice address
- 368 S Weber Rd
Romeoville, IL 60446-6521 - Phone
- (815) 254-6657
- Fax
- (815) 254-6648
- NPI assigned
- Mar 19, 2019
- Organization subpart
- No
Authorized official
- Name
- Samuel T Wey
- Title
- VP, Licensure & Certification
- Phone
- (615) 341-6641
Member of 1
Medicare Care Compare: Dialysis facility
- Listed as
- DaVita Joliet Home Dialysis (PD ONLY)
- Ownership
- Profit
- Certified
- Apr 9, 2014
- Medicare certification status
- Active
- Chain
- DaVita
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2160958 | Joliet Home Dialysis | Certificate of waiver | Jan 22, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190402000258 | IL | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 4284975251 | Practice locations: Romeoville, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
368 S Weber Rd
Romeoville, IL 60446-6521
Mailing address
5200 Virginia Way
L&C Department
Brentwood, TN 37027-7569
Other names
- Joliet Home Dialysis
Other providers in Romeoville, IL
- Susan Marie Colegrove
- Latitia S Coleman
- Rolanda Lynette Collins
- Convenient Therapy Services LLC
- Rayven Cornelio
- Susan A Cuevas
- Brendan T Cullen
- Karen Danielle Cura
- Mariah Y Cura
- Victoria Jean Cura
All providers in Romeoville, IL · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.