Active NPI
Renal Treatment Centers-Southeast, LP.
Doing business as Oakwood Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Gretna, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- PENDING
- Legal business name
- RENAL TREATMENT CENTERS-SOUTHEAST, LP.
- Doing business as
- Oakwood Dialysis Center
- Practice address
- 148 Hector Avenue
Gretna, LA 70056-2531 - Phone
- (504) 376-1603
- Fax
- (504) 376-2364
- NPI assigned
- Jul 17, 2006
- Last updated
- Aug 8, 2023
- 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
- Sr Director Licensure&Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | PENDING | LA | Primary |
Addresses
Primary practice location
148 Hector Avenue
Gretna, LA 70056-2531
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Phone (615) 320-4514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1458236 | Medicaid | LA |
Other names 1
- Oakwood Dialysis Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151222002026 | LA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 1658555255 | Practice locations: Gretna, LA |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Oakwood Dialysis Center
- Overall star rating
- Ownership
- Profit
- Certified
- Oct 25, 2006
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 12
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D1059657 | Oakwood Dialysis Center | Certificate of waiver | Oct 3, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Degray Dialysis
Organizations with this tax ID in the same state 9
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Renal Treatment Centers - New Orleans
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Orleans, LA
- NPI 1942269014
-
dba Trinity Kidney Care Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Slidell, LA
- NPI 1144289075
-
dba Denham Springs Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Denham Springs, LA
- NPI 1790723856
-
dba Independence Renal Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Independence, LA
- NPI 1861451924
-
dba Marrero Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Harvey, LA
- NPI 1659549616
-
dba Dialysis Systems of Covington
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Covington, LA
- NPI 1053370106
-
dba Bogalusa Kidney Care
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bogalusa, LA
- NPI 1104885243
-
dba Slidell Kidney Care
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Slidell, LA
- NPI 1760441836
-
dba Washington Parish Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Franklinton, LA
- NPI 1912966839
Locations
148 Hector Ave
Gretna, LA 70056
Phone (504) 376-1603
1111 Medical Center Blvd
Ste N
Marrero, LA 70072
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691452800000",
"number": "1417975442",
"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",
"telephone_number": "615-320-4514",
"fax_number": "866-594-9961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 HECTOR AVENUE",
"city": "GRETNA",
"state": "LA",
"postal_code": "700562531",
"telephone_number": "504-376-1603",
"fax_number": "504-376-2364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAL TREATMENT CENTERS-SOUTHEAST, LP.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAM",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "SR DIRECTOR LICENSURE&CERTIFICATION",
"authorized_official_telephone_number": "615-341-6641"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "LA",
"license": "PENDING",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1458236",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oakwood Dialysis Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Oakwood Dialysis Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.