Organization Active NPI

Montress Dialysis LLC

Doing business as Antelope Valley Home Training

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lancaster, CA
National Provider Identifier
1255016747
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
MONTRESS DIALYSIS LLC
Doing business as
Antelope Valley Home Training
Practice address
44151 15TH St W Ste 215
Lancaster, CA 93534-4079
Phone
(615) 341-6282
Fax
(866) 510-6389
NPI assigned
Jun 21, 2023
Last updated
Mar 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samuel Wey
Title
Vice President, Licensure & Certifi
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

44151 15TH St W Ste 215
Lancaster, CA 93534-4079

Mailing address

5200 Virginia Way
Attn: L&C Department
Brentwood, TN 37027-7569
Phone (615) 341-6282

Other names 1

  • Antelope Valley Home Training Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240531002897 CA Part A Provider - End-Stage Renal Disease Facility (ESRD) 3971945247 Practice locations: Lancaster, CA

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Davita Antelope Valley Home TrainingCCN 752619
Ownership
Profit
Certified
Feb 18, 2025
Chain
DaVita
Dialysis stations
5

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
05D2290226Antelope Valley Home Training44151 15TH Street W Ste 215, Lancaster, CA 93534Certificate of waiverSep 20, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1255016747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATTN: L&C DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-6282",
            "fax_number": "866-510-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44151 15TH ST W STE 215",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344079",
            "telephone_number": "615-341-6282",
            "fax_number": "866-510-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTRESS DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VICE PRESIDENT, LICENSURE & CERTIFI",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antelope Valley Home Training",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Antelope Valley Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.