Bowan Dialysis LLC

Primary specialty

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

Legal business name

BOWAN DIALYSIS LLC

Doing business as

Beltline Home Training

Practice address

330 E Beltline Ave NE
Ste 210
Grand Rapids, MI 49506-1267

Phone

(616) 285-7081

Fax

(616) 285-7096

NPI assigned

Jun 10, 2013

Last updated

Oct 23, 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 identifiers 1

Other names 1

• Beltline Home Training Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

DaVita Beltline Home TrainingCCN 232693

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Aug 26, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

1

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.

• Total Renal Care Inc

  dba Cerritos Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cerritos, CA
  • NPI 1255681011

  Member Of

  NPD member

Locations

Affiliated clinicians 5

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

• Ramandeep Singh Banga, M.D.

  • Nephrology Physician
  • Grand Rapids, MI
  • NPI 1093005373

  Dialysis facility

  Care Compare affiliation Name & address match
• Paul A Delyria, M.D.

  • Nephrology Physician
  • Grand Rapids, MI
  • NPI 1457690125

  Dialysis facility

  Care Compare affiliation Name & address match
• Daniel B Meyer, M.D.

  • Nephrology Physician
  • Grand Rapids, MI
  • NPI 1427412832

  Dialysis facility

  Care Compare affiliation Name & address match
• Srivilliputtur Gopalan Santhana Krishnan, M.D

  • Nephrology Physician
  • Grand Rapids, MI
  • NPI 1902850316

  Dialysis facility

  Care Compare affiliation Name & address match
• Michael J Unruh, M.D.

  • Nephrology Physician
  • Grand Rapids, MI
  • NPI 1104036532

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1285072447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATT: 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": "330 E BELTLINE AVE NE",
            "address_2": "STE 210",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061267",
            "telephone_number": "616-285-7081",
            "fax_number": "616-285-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWAN DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285072447",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beltline Home Training",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beltline Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Bouws, LMSW
• Cathleen Suzanne Bouwsma, NP
• Katlynn Elizabeth Bovee, LMSW
• Maxwell Boven
• Brian Mitchell Boville, M.D.
• Brooke Bowden, M.S., CCC-SLP
• Aleaha Nicole Bowen, LPC
• Cody James Bowen, M.D.
• Connor Bowen, PA-C
• Gabrielle Bowen

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.