Organization Active NPI

Renviva Dialysis Center of Southwest Ohio LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hilliard, OH
National Provider Identifier
1598535981
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
RENVIVA DIALYSIS CENTER OF SOUTHWEST OHIO LLC
Practice address
5579 Hilliard Rome Office Park
Hilliard, OH 43026-7287
Phone
(321) 710-0352
NPI assigned
Jan 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Akinyinka Awosika
Title
Cfo
Phone
(321) 710-0352

Specialties & licenses 1

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

Addresses

Primary practice location

5579 Hilliard Rome Office Park
Hilliard, OH 43026-7287

Mailing address

5579 Hilliard Rome Office Park
Hilliard, OH 43026-7287

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240201000541 OH Part A Provider - End-Stage Renal Disease Facility (ESRD) 3476906892 Practice locations: Hilliard, OH

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
RenViva Dialysis Center of Southwest OH LLCCCN 722514
Ownership
Profit
Certified
May 7, 2024
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
2

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
36D2300066Renviva Dialysis Center of5579 Hilliard Rome Office Park, Hilliard, OH 43026Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

Locations

5579 Hilliard Rome Office Park
#5583
Hilliard, OH 43026

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": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1598535981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5579 HILLIARD ROME OFFICE PARK",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5579 HILLIARD ROME OFFICE PARK",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267287",
            "telephone_number": "321-710-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENVIVA DIALYSIS CENTER OF SOUTHWEST OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "AWOSIKA",
        "authorized_official_first_name": "AKINYINKA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "321-710-0352"
    },
    "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 Hilliard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.