Dixville Dialysis LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Harrington, DE
NPI 1376289694 · NPPES record last updated Nov 5, 2024
Key facts
- NPI
- 1376289694
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- DIXVILLE DIALYSIS LLC
- Practice address
- 2000 Midway Dr
Harrington, DE 19952-2449 - Phone
- (615) 341-5875
- NPI assigned
- May 10, 2022
- Organization subpart
- No
Authorized official
- Name
- Samuel T Wey
- Title
- VP, Licensure & Certification
- Phone
- (615) 341-6641
Member of 1
Affiliated clinicians 3
-
Liann Abu Salman, MD
-
Afsheen Afzal, MD
-
Jose M Saez, D.O.
Medicare Care Compare: Dialysis facility
- Listed as
- DaVita Harrington
- Overall star rating
- ★★☆☆☆ 2.0 of 5
- Ownership
- Profit
- Certified
- Jun 6, 2023
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 12
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 08D2264824 | Harrington Dialysis | Certificate of waiver | Jul 19, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221013001079 | DE | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 9638545874 | Practice locations: Harrington, DE |
National Provider Directory
Locations
2000 Midway Dr
Harrington, DE 19952
Phone (302) 305-2347
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
2000 Midway Dr
Harrington, DE 19952-2449
Mailing address
5200 Virginia Way
L & C Department
Brentwood, TN 37027-7569
Other names
- Harrington Dialysis
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All providers in Harrington, DE · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.