NPIMap

Organization Active NPI

Renal Treatment Centers-Illinois Inc

Doing business as Eaton Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Eaton, OH
National Provider Identifier
1437276979
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
0895DC Issued in OH
Legal business name
RENAL TREATMENT CENTERS-ILLINOIS INC
Doing business as
Eaton Dialysis
Practice address
105 E Washington Jackson Rd
Eaton, OH 45320-9789
Phone
(937) 456-1174
Fax
(937) 456-1945
NPI assigned
Mar 22, 2007
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 0895DC OH Primary

Addresses

Primary practice location

105 E Washington Jackson Rd
Eaton, OH 45320-9789

Mailing address

5200 Virginia Way
Brentwood, TN 37027-7569

Other identifiers 1

IdentifierTypeStateIssuer
2817125MedicaidOH

Other names 1

  • Eaton Dialysis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070503000019 OH Part A Provider - End-Stage Renal Disease Facility (ESRD) 2365359965 Practice locations: Eaton, OH

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
DaVita Eaton DialysisCCN 362703
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Nov 29, 2007
Medicare certification status
ActiveFrom the Provider of Services file
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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1066978Eaton Dialysis105 East Washington Jackson Road, Eaton, OH 45320Certificate of waiverApr 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Renal Treatment Centers-Illinois Inc85 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 8

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

Locations

105 E Washington Jackson Rd
Eaton, OH 45320
Phone (937) 456-1174

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1437276979",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E WASHINGTON JACKSON RD",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209789",
            "telephone_number": "937-456-1174",
            "fax_number": "937-456-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL TREATMENT CENTERS-ILLINOIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "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": "OH",
            "license": "0895DC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2817125",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eaton Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eaton Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eaton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.