Dva Renal Healthcare Inc

Primary specialty

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

License

060 Issued in LA

Legal business name

DVA RENAL HEALTHCARE INC

Doing business as

Lake Charles Southwest Dialysis

Practice address

300 18TH St
Lake Charles, LA 70601-7342

Phone

(337) 433-6831

Fax

(337) 433-6613

NPI assigned

Mar 18, 2006

Last updated

Jan 27, 2026By 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 T Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other names 1

• Lake Charles Southwest Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

DaVita Lake Charles Southwest DialysisCCN 192597

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Mar 11, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

17

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

Gambro Healthcare Hunti173 organizations share this tax ID, including this one

Locations

Affiliated clinicians 2

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

• Maximo Bienvenido Lamarche, M.D.

  • Nephrology Physician
  • Lafayette, LA
  • NPI 1003852567

  Dialysis facility

  Care Compare affiliation Name & address match
• Asif Nisar, MD

  • Nephrology Physician
  • Lake Charles, LA
  • NPI 1316911092

  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": "1769472000000",
    "number": "1154380228",
    "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": "300 18TH ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017342",
            "telephone_number": "337-433-6831",
            "fax_number": "337-433-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVA RENAL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-18",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "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": "060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Charles Southwest Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Charles Southwest Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald Scott Duplechin, PT
• Calli Janet Dupont, DPT
• Clint Dupre, LPN
• Aaron L Dupree, MD
• Alisha Danielle Dupree, PA-C
• Dva Renal Healthcare Inc (Lake Charles South Dialysis)
• Dyer Psychiatric Services
• Michelle Trahan Dyer, APRN, APMHNP-BC
• Syd Dyer, MD
• Dynamic Orthotic Services, Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• 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 Jan 27, 2026; 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.