Active NPI
Ara-Tiverton Dialysis LLC
Doing business as Dialysis Center of Tiverton
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Tiverton, RI
National Provider Identifier
1285745570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- ARA-TIVERTON DIALYSIS LLC
- Doing business as
- Dialysis Center of Tiverton
- Practice address
- 22 Hurst LN
Tiverton, RI 02878-2312 - Phone
- (401) 624-4403
- Fax
- (401) 624-4623
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara Anne Brady
- Title
- Chief Nursing Officer
- Phone
- (208) 371-7878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
22 Hurst LN
Tiverton, RI 02878-2312
Mailing address
22 Hurst LN
Tiverton, RI 02878-2312
Phone (401) 624-4403
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316354 | Medicaid | MA | |
| TD50961 | Medicaid | RI |
Other names 1
- Dialysis Center of Tiverton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030909000045 | RI | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 9436060654 | Practice locations: Tiverton, RI |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Dialysis Center of Tiverton
- Overall star rating
- Ownership
- Profit
- Certified
- Sep 3, 1998
- Medicare certification status
- Active
- Chain
- American Renal Associates
- Dialysis stations
- 21
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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 41D0948101 | Ara-Tiverton Dialysis LLC | Certificate of waiver | Jun 30, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Nephrology Physician
- East Providence, RI
- NPI 1124225594
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779062400000",
"number": "1285745570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 HURST LN",
"city": "TIVERTON",
"state": "RI",
"postal_code": "028782312",
"telephone_number": "401-624-4403",
"fax_number": "401-624-4623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 HURST LN",
"city": "TIVERTON",
"state": "RI",
"postal_code": "028782312",
"telephone_number": "401-624-4403",
"fax_number": "401-624-4623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARA-TIVERTON DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A",
"authorized_official_last_name": "BRADY",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "CHIEF NURSING OFFICER",
"authorized_official_telephone_number": "208-371-7878"
},
"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": "1316354",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TD50961",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dialysis Center of Tiverton",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dialysis Center of Tiverton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tiverton, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.