Meadows Dialysis LLC

Primary specialty

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

Legal business name

MEADOWS DIALYSIS LLC

Doing business as

North County Kidney Care Dialysis

Practice address

1554 Sierra Vista PLZ
Saint Louis, MO 63138-2040

Phone

(314) 438-0864

Fax

(314) 355-1857

NPI assigned

Oct 17, 2014

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

• North County Kidney Care Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

DaVita North County Kidney Care DialysisCCN 262673

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Apr 27, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

20

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 2

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

• Suresh Mathew MD LLC

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1821746348

  Member Of

  NPD member
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Locations

Affiliated clinicians 1

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

• Suresh Mathew, MD

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1922070614

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1295139459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "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": "1554 SIERRA VISTA PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631382040",
            "telephone_number": "314-438-0864",
            "fax_number": "314-355-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "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": "1295139459",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North County Kidney Care Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North County Kidney Care Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MD Diagnostics LLC
• Md2U Missouri LLC
• MDS in-Home Services
• Kathleen Williams Meacham, MD
• Christopher Robert Meachem, PT, DPT
• Leanne Meadows-Rahe
• Bruce Jackson Meadows, RPH
• Lisa Ann Meadows, APRN, BC
• Nancy Means, PT
• Grace Lauren Meara, PT, DPT

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.