Organization Active NPI

Dialysis Care Center Lagrange LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lagrange, GA
National Provider Identifier
1548032360
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
DIALYSIS CARE CENTER LAGRANGE LLC
Practice address
109 Parker Dr
Lagrange, GA 30240-6436
Phone
(706) 350-4967
Fax
(706) 350-4879
NPI assigned
Oct 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Dr. Morufu Olatunji Alausa, MD
Title
Medical Officer
Phone
(815) 741-6830

Specialties & licenses 1

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

Addresses

Primary practice location

109 Parker Dr
Lagrange, GA 30240-6436

Mailing address

PO Box 428
Lockport, IL 60441-6428
Phone (815) 714-7170

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231208002473 GA Part A Provider - End-Stage Renal Disease Facility (ESRD) 0244689735 Practice locations: Lagrange, GA

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Satellite Healthcare of LaGrange, LLCCCN 852565
Overall star rating
1.0 of 5
Ownership
Profit
Certified
Sep 27, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Chain
Satellite Healthcare
Dialysis stations
11

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
11D2293284Dialysis Care Center Lagrange, LLC109 Parker Drive, Lagrange, GA 30240Certificate of waiverNov 6, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1548032360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604416428",
            "telephone_number": "815-714-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PARKER DR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302406436",
            "telephone_number": "706-350-4967",
            "fax_number": "706-350-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CARE CENTER LAGRANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "ALAUSA",
        "authorized_official_first_name": "MORUFU",
        "authorized_official_middle_name": "OLATUNJI",
        "authorized_official_title_or_position": "MEDICAL OFFICER",
        "authorized_official_telephone_number": "815-741-6830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.