Dva Renal Healthcare Inc

Primary specialty

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

License

S3734 Issued in AL

Legal business name

DVA RENAL HEALTHCARE INC

Doing business as

Red Mountain Home Training Dialysis

Practice address

300 B 22ND St South
Birmingham, AL 35233-2209

Phone

(205) 250-6757

Fax

(205) 458-0146

NPI assigned

May 30, 2013

Last updated

Jul 14, 2025By 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 T. Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other names 1

• Red Mountain Home Training Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Gambro Healthcare Hunti173 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Dva Renal Healthcare Inc

  dba Ensley Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Birmingham, AL
  • NPI 1164495461
  NPD tax ID
• Dva Renal Healthcare Inc

  dba Florence Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Florence, AL
  • NPI 1457324220
  NPD tax ID
• Dva Renal Healthcare Inc

  dba Birmingham North Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Birmingham, AL
  • NPI 1508839002
  NPD tax ID
• Dva Renal Healthcare Inc

  dba Russellville Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Russellville, AL
  • NPI 1518930635
  NPD tax ID
• Dva Renal Healthcare Inc

  dba Sylacauga Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sylacauga, AL
  • NPI 1619940764
  NPD tax ID
• Dva Renal Healthcare Inc

  dba Sheffield Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sheffield, AL
  • NPI 1669446092
  NPD tax ID
• Dva Renal Healthcare Inc

  dba Birmingham Central Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Birmingham, AL
  • NPI 1821061300
  NPD tax ID

Locations (25 of 120)

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bashar Alzahabi, MD

  • Nephrology Physician
  • Effingham, IL
  • NPI 1467448456
  NPD (past)
• Ana Maria Ambriz-Gonzalez

  • Clinical Social Worker
  • San Leandro, CA
  • NPI 1750865549
  NPD (past)
• Jessica Hoppock-Smith, MS, RD, LD

  • Renal Nutrition Registered Dietitian
  • Oklahoma City, OK
  • NPI 1871132928
  NPD (past)
• Lindsey James, M.D.

  • Hospitalist Physician
  • St Augustine, FL
  • NPI 1205026697
  NPD (past)
• Rakesh Kumar, M.D

  • Nephrology Physician
  • Edgewood, KY
  • NPI 1649427428
  NPD (past)
• Jair Munoz Mendoza, MD

  • Nephrology Physician
  • Miami, FL
  • NPI 1174752877
  NPD (past)
• Tahseen Akram Rawls, R.D

  • Registered Dietitian
  • Orlando, FL
  • NPI 1619146909
  NPD (past)
• Marissa A Sepulveda, ASW

  • Clinical Social Worker
  • Santa Monica, CA
  • NPI 1235907965
  NPD (past)
• Michelle Dianne Shultz, R.D., L.D.

  • Registered Dietitian
  • Oklahoma City, OK
  • NPI 1558320804
  NPD (past)
• Gregory Daniel Spin, D.O.

  • Nephrology Physician
  • Roseville, CA
  • NPI 1114977386
  NPD (past)
• Mahyar Tahbaz, DO

  • Nephrology Physician
  • Marietta, OH
  • NPI 1770583031
  NPD (past)

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1629415609",
    "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": "300 B 22ND ST SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332209",
            "telephone_number": "205-250-6757",
            "fax_number": "205-458-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVA RENAL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T.",
        "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": "AL",
            "license": "S3734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Mountain Home Training Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Red Mountain Home Training Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Marshall Dutton, DPT OCS
• Andrew S Duxbury, MD
• Dva Healthcare Renal Care Inc (Birmingham East Dialysis)
• Dva Renal Healthcare Inc (Ensley Dialysis)
• Dva Renal Healthcare Inc (Birmingham North Dialysis)
• Dva Renal Healthcare Inc (Birmingham Home Training Dialysis)
• Dva Renal Healthcare Inc (Birmingham Central Dialysis)
• Candice C. Dye, MD
• Datreauna Dye, RN
• Emily Higdon Dye, PHARMD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.