Sun City Dialysis Center LLC

Primary specialty

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

License

OTC3476 Issued in AZ

Legal business name

SUN CITY DIALYSIS CENTER LLC

Doing business as

Palm Brook Dialysis Center

Practice address

14664 N del Webb Blvd
Sun City, AZ 85351-2137

Phone

(623) 583-6550

Fax

(623) 977-2514

NPI assigned

Apr 13, 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 1

Other names 1

• Palm Brook Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

DaVita Palm Brook Dialysis CenterCCN 032601

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Dec 10, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

20

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 1

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

• Renal Treatment Centers West Inc

  dba Parsons Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Parsons, KS
  • NPI 1982663902

  Member Of

  NPD member

Affiliated clinicians 2

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

• Liqun Bai, MD

  • Nephrology Physician
  • Sun City, AZ
  • NPI 1609827286

  Dialysis facility

  Care Compare affiliation Name & address match
• Anup Rai, M.D.

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1316992043

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1194789594",
    "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": "14664 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512137",
            "telephone_number": "623-583-6550",
            "fax_number": "623-977-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "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": "AZ",
            "license": "OTC3476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "841313",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Brook Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palm Brook Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sun City Az Endoscopy ASC LLC (Sun City Endoscopy Center)
• Sun City Cardiac Center, Inc.
• Sun City Care
• Sun City Dental Care
• Sun City Dental PLLC (Smile Sun City)
• Sun City Electrophysiology, LLC
• Sun City Family Dentistry
• Sun City Fire District (Sun City Fire and Medical Department)
• Sun City Fire District
• Sun City Fish LLC (Home Instead)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Sun City, AZ
• Providers in Sun City, AZ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.