Organization Active NPI

Arrowhead Dialysis LLC

Doing business as Northriver Home Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tuscaloosa, AL
National Provider Identifier
1245841550
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ARROWHEAD DIALYSIS LLC
Doing business as
Northriver Home Dialysis
Practice address
1850 McFarland Blvd N Ste B
Tuscaloosa, AL 35406-2138
Phone
(205) 556-5541
NPI assigned
Aug 11, 2020
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
DVA HEALTHCARE RENAL CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

1850 McFarland Blvd N Ste B
Tuscaloosa, AL 35406-2138

Mailing address

5200 Virginia Way
Att: L&C Department
Brentwood, TN 37027-7569

Other identifiers 1

IdentifierTypeStateIssuer
262561MedicaidAL

Other names 1

  • Northriver Home Dialysis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200930002028 AL Part A Provider - End-Stage Renal Disease Facility (ESRD) 7719306356 Practice locations: Tuscaloosa, AL

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
DaVita Northriver Home Dialysis (PD)CCN 012619
Overall star rating
2.0 of 5
Ownership
Profit
Certified
Dec 19, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Chain
DaVita

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2189965Northriver Home Dialysis1850 McFarland Blvd N, Suite B, Tuscaloosa, AL 35406Certificate of waiverAug 6, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1850 McFarland Blvd N
Ste B
Tuscaloosa, AL 35406
Phone (205) 556-5541

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1245841550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATT: L&C DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 MCFARLAND BLVD N STE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062138",
            "telephone_number": "205-556-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD DIALYSIS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DVA HEALTHCARE RENAL CARE INC",
        "enumeration_date": "2020-08-11",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262561",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northriver Home Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northriver Home Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.