Attell Dialysis LLC

Primary specialty

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

Legal business name

ATTELL DIALYSIS LLC

Practice address

2143 N Main St
Summerville, SC 29486-7800

Phone

(843) 875-1779

Fax

(843) 875-7461

NPI assigned

Oct 10, 2016

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 1

Other names 1

• Flower Town Home Training Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

DaVita Flower Town Home TrainingCCN 422665

Overall star rating

5.0 of 5

Ownership

Profit

Certified

Jun 28, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

4

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

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Locations

Affiliated clinicians 3

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

• Richard Wayne Browder, M.D.

  • Nephrology Physician
  • North Charleston, SC
  • NPI 1700889938

  Dialysis facility

  Care Compare affiliation Name & address match
• Bradley Scott Kalinsky, MD

  • Nephrology Physician
  • North Charleston, SC
  • NPI 1386818698

  Dialysis facility

  Care Compare affiliation Name & address match
• Benjamin Blake Weathersby, M.D.

  • Nephrology Physician
  • North Charleston, SC
  • NPI 1730182932

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1467902858",
    "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": "2143 N MAIN ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867800",
            "telephone_number": "843-875-1779",
            "fax_number": "843-875-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTELL DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RE0078",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flower Town Home Training",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flower Town Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Atlantic Coast Integrative Medicine, LLC
• Atlantic Coast Physical Medicine, LLC
• Atlas Physical Therapy, Inc
• Kassandra Atoulon
• Marline Awad Eskandar Attallah, MD, MPH
• Kristie Lynn Jones Aubuchon, LMT
• Aura Home Care and Concierge, LLC
• Awe of Care in Home Agency
• Azalea Dental LLC
• Azalea Physical Therapy, LLC

• All providers in Summerville, SC
• 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 Aug 1, 2024; 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.