Active NPI
Dialysis Care Center Lagrange LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lagrange, GA
National Provider Identifier
1548032360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLC
- Overall star rating
- Ownership
- Profit
- Certified
- Sep 27, 2019
- Medicare certification status
- Active
- 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 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 |
|---|---|---|---|
| 11D2293284 | Dialysis Care Center Lagrange, LLC | Certificate of waiver | Nov 6, 2027 |
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
- Columbus, GA
- NPI 1427603265
Member Of
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.