Active NPI
Renviva Dialysis Center of Southwest Ohio LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hilliard, OH
National Provider Identifier
1598535981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Ownership
- Profit
- Certified
- May 7, 2024
- Medicare certification status
- Active
- 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 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 |
|---|---|---|---|
| 36D2300066 | Renviva Dialysis Center of | Certificate of waiver | Mar 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.