Makonee Dialysis LLC

Primary specialty

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

Legal business name

MAKONEE DIALYSIS LLC

Doing business as

Laburnum Dialysis

Practice address

4352 S Laburnum Ave
Henrico, VA 23231-2418

Phone

(804) 236-4699

Fax

(804) 236-9235

NPI assigned

Feb 4, 2016

Last updated

Mar 25, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laburnum Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

DaVita Laburnum DialysisCCN 492710

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Jun 29, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

24

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

  dba Kendall Kidney Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Miami, FL
  • NPI 1164748273

  Member Of

  NPD member

Locations

Affiliated clinicians 2

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

• Mirza Shahrukh Baig, MD

  • Nephrology Physician
  • Mechanicsville, VA
  • NPI 1427214063

  Dialysis facility

  Care Compare affiliation Name & address match
• Guita Ghadiri, M.D.

  • Nephrology Physician
  • North Chesterfield, VA
  • NPI 1053304311

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1598123655",
    "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": "4352 S LABURNUM AVE",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232312418",
            "telephone_number": "804-236-4699",
            "fax_number": "804-236-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKONEE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "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": "1598123655",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laburnum Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laburnum Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Andrew Maddox, RN
• Gina Maggio, MS CCC-SLP
• Fadi Mohammad Majdalawi, DMV
• Major Addiction and Recovery House LLC
• Make Money Fast Inc (ameriCARE of Greater Richmond)
• Sanjayla Karis Malhotra
• Kelly Marie Malone
• Popel Chan Manev, FNP
• Crystal Mann-Ellis, NP
• Laurie M Manns, LPC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Henrico, VA
• Providers in Henrico, VA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Virginia

• 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.