Organization 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
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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

Updated by the provider on May 18, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1316354MedicaidMA
TD50961MedicaidRI

Other names 1

  • Dialysis Center of Tiverton Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 TivertonCCN 412508
Overall star rating
5.0 of 5
Ownership
Profit
Certified
Sep 3, 1998
Medicare certification status
ActiveFrom the Provider of Services file
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 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
41D0948101Ara-Tiverton Dialysis LLC22 Hurst Lane, Tiverton, RI 02878Certificate of waiverJun 30, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "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.

Verify at the official NPI Registry.