Dsi Travelers Rest, LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Travelers Rest, SC
NPI 1134593239 · NPPES record last updated May 19, 2016
Key facts
- NPI
- 1134593239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- DSI TRAVELERS REST, LLC
- Practice address
- 36 S Main St
Travelers Rest, SC 29690-1872 - Phone
- (864) 660-2050
- NPI assigned
- Nov 30, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- U.S RENAL CARE, INC.
Authorized official
- Name
- Thomas L. Weinberg
- Title
- Authorized Official
- Phone
- (214) 736-2700
Member of 1
Affiliated clinicians 1
Medicare Care Compare: Dialysis facility
- Listed as
- USRC Travelers Rest Dialysis
- Overall star rating
- ★★★☆☆ 3.0 of 5
- Ownership
- Profit
- Certified
- Nov 20, 2015
- Medicare certification status
- Active
- Chain
- US Renal Care, Inc.
- Dialysis stations
- 13
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2091451 | Dsi Travelers Rest, LLC | Certificate of waiver | Feb 11, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170605000701 | SC | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 4981900248 | Practice locations: Travelers Rest, SC |
National Provider Directory
- Part of
- US Renal Care Inc
Locations
36 S Main St
Travelers Rest, SC 29690
Phone (615) 234-1160
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
36 S Main St
Travelers Rest, SC 29690-1872
Mailing address
424 Church St
Suite 1900
Nashville, TN 37219-2301
Phone (615) 467-0131
Other names
- U.S. Renal Care Travelers Rest Dialysis
Other providers in Travelers Rest, SC
- Brianna Helen Devalk
- Elisabeth Rosanne Diehl
- Stacey Dilworth
- Sharon Dockery
- Kaitlin Nicole Doverspike
- Jacob L Duncan
- Courtney Eidson
- John Robert Endler
- Enhanced Living Travelers Rest
- Eye to Eye Inc
All providers in Travelers Rest, SC · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2016. 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.