Dva Renal Healthcare Inc

Primary specialty

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

License

300056 Issued in KY

Legal business name

DVA RENAL HEALTHCARE INC

Doing business as

Hopkinsville Dialysis

Practice address

115 N Virginia St
Hopkinsville, KY 42240-3143

Phone

(270) 887-5622

Fax

(270) 886-9784

NPI assigned

Apr 10, 2006

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 2

Other names 1

• Hopkinsville Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Listed as

DaVita Hopkinsville DialysisCCN 182519

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Sep 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

17

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Gambro Healthcare Hunti173 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Dva Renal Healthcare Inc

  dba Crestview Hills Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Crestview Hills, KY
  • NPI 1124081252
  NPD tax ID
• Dva Renal Healthcare Inc

  dba Christian County Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hopkinsville, KY
  • NPI 1184687824
  NPD tax ID

Affiliated clinicians 1

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

• Abhijay Jalota

  • Nephrology Physician
  • Hopkinsville, KY
  • NPI 1073989323

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1417910522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATT: 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": "115 N VIRGINIA ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422403143",
            "telephone_number": "270-887-5622",
            "fax_number": "270-886-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVA RENAL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "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": "KY",
            "license": "300056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508822",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3900004700",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hopkinsville Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hopkinsville Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Durham
• James-Michael Wayne Durham, PHARMD
• Miles Durham, PA-C
• Emma Hazel Dusanek
• Dva Renal Healthcare Inc (Christian County Dialysis)
• Donna B Dyer, DPH
• Lauren Kyle Eaker, MSN, AGPCNP-BC
• Cody Earl
• Holden East
• John Timothy Ebert, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.