Active NPI
Renal Treatment Centers - Southeast LP
Doing business as Lake Way Home Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lake Jackson, TX
National Provider Identifier
1386558575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- RENAL TREATMENT CENTERS - SOUTHEAST LP
- Doing business as
- Lake Way Home Dialysis
- Practice address
- 508 This Way St
Lake Jackson, TX 77566-5128 - Phone
- (615) 554-0594
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- 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
- Sam T Wey
- Title
- Vice President
- Phone
- (615) 341-6691
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
508 This Way St
Lake Jackson, TX 77566-5128
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Phone (615) 554-0594
Other names 1
- Lake Way Home Dialysis
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790899200000",
"number": "1386558575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569",
"telephone_number": "615-554-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 THIS WAY ST",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665128",
"telephone_number": "615-554-0594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAL TREATMENT CENTERS - SOUTHEAST LP",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAM",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "615-341-6691"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lake Way Home Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Jackson, TX
- Danette Randall, P.T.
- Syed Rashid
- Rebecca Ann Inc (The Plantation Health Care Center)
- Meredith M Reed, RD, LD
- Renaissance Liberty Pathology,LLC
- Renal Treatment Centers-Southeast, LP (Lake Jackson Dialysis)
- Harvey Resnick, M.D.
- Revered Texan Hearth & Home, LLC
- Rhapsody Emergency Physicians, PPLC
- Dustin Rhodes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.