Active NPI
Screven Dialysis, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ocala, FL
National Provider Identifier
1497416234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- SCREVEN DIALYSIS, LLC
- Doing business as
- Ocala Central Dialysis
- Practice address
- 3930 SW 42ND St
Ste 101
Ocala, FL 34474-4797 - Phone
- (352) 657-2443
- Fax
- (352) 657-2463
- NPI assigned
- Jan 4, 2022
- 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
- John D Winstel
- Title
- Chief Accounting Officer
- Phone
- (253) 733-4501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
3930 SW 42ND St
Ste 101
Ocala, FL 34474-4797
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Phone (615) 320-4593
Other names 1
- Ocala Central Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220714000763 | FL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 5698156255 | Practice locations: Ocala, FL |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Ocala Central Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Oct 20, 2022
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 16
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 |
|---|---|---|---|
| 10D2254480 | Ocala Central Dialysis | Certificate of waiver | Mar 2, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockfrd, IL
- NPI 1154997591
Member Of
Locations
3930 SW 42nd St
Ste 101
Ocala, FL 34474
Phone (352) 657-2443
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Ocala, FL
- NPI 1629076419
Affiliated clinicians 5
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": "1641254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689120000000",
"number": "1497416234",
"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": "615-320-4593",
"fax_number": "800-293-5872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 SW 42ND ST",
"address_2": "STE 101",
"city": "OCALA",
"state": "FL",
"postal_code": "344744797",
"telephone_number": "352-657-2443",
"fax_number": "352-657-2463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCREVEN DIALYSIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-04",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ocala Central Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ocala Central Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.