Longworth Dialysis LLC

Primary specialty

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

License

ERD -0202 Issued in SC

Legal business name

LONGWORTH DIALYSIS LLC

Doing business as

Greer South Home Training

Practice address

3254 Brushy Creek Rd
Ste a
Greer, SC 29650-1000

Phone

(864) 877-9157

Fax

(864) 801-2937

NPI assigned

May 14, 2012

Last updated

Jul 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John D Winstel

Title

Chief Accounting Officer

Phone

(253) 733-4501

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greer South Home Training Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

DaVita Greer South Home Training (PD)CCN 422638

Ownership

Profit

Certified

Dec 19, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

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 Cerritos Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cerritos, CA
  • NPI 1255681011

  Member Of

  NPD member

Locations

Affiliated clinicians 2

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

• Marcus Duncan Moreman III, DO

  • Nephrology Physician
  • Greenville, SC
  • NPI 1043703499

  Dialysis facility

  Care Compare affiliation Name & address match
• Mark D Purcell, DO

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1639183544

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1427317296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4593",
            "fax_number": "800-293-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3254 BRUSHY CREEK RD",
            "address_2": "STE A",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501000",
            "telephone_number": "864-877-9157",
            "fax_number": "864-801-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGWORTH DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4501"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "SC",
            "license": "ERD -0202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RE0047",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greer South Home Training",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greer South Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Taylor Lockhart, FNP
• Keeland Kelley Lodato
• Keith Thomas Lonergan, MD
• Keely Long
• Lesle D. Long, M.D.
• Stephen Wayne Looper
• Kevin Lorenzen
• Emily Renae Loudermilk
• Marileze Louw
• James Emmett Lovett III, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Greer, SC
• Providers in Greer, SC by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Carolina

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

Verify at the official NPI Registry.