Tugaloo Dialysis LLC

Primary specialty

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

Legal business name

TUGALOO DIALYSIS LLC

Doing business as

Harrison County Dialysis

Practice address

95 Rosebud PLZ
Ste 101
Clarksburg, WV 26301-9823

Phone

(304) 624-0478

Fax

(304) 624-0640

NPI assigned

Sep 5, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harrison County Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Listed as

DaVita Harrison County DialysisCCN 512540

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Apr 28, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

11

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 1

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

• Total Renal Care Inc

  dba Parkland Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Parkland, WA
  • NPI 1881987485

  Member Of

  NPD member

Locations

Affiliated clinicians 1

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

• Devan Makati, M.D

  • Internal Medicine Physician
  • Morgantown, WV
  • NPI 1063877249

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1417358839",
    "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": "95 ROSEBUD PLZ",
            "address_2": "STE 101",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019823",
            "telephone_number": "304-624-0478",
            "fax_number": "304-624-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUGALOO DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "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": "3910006952",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrison County Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harrison County Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Lee Travis, RN
• Kiena Trimmer
• Jessica Triplett
• Nicholas A Trotto
• Morgan Nikole Truxall
• Gloria Turner
• Kerri Lynn Turner, MS CCC/SLP
• Paris Cleopatra Turner, PMHNP
• Tommy Turner, M.D.
• Tuscan Sun Spa

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.