Organization Active NPI

Dsi Greenville, LLC

Doing business as U.S. Renal Care Pleasantburg Home Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Greenville, SC
National Provider Identifier
1639470222
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
DSI GREENVILLE, LLC
Doing business as
U.S. Renal Care Pleasantburg Home Dialysis
Practice address
110 Chalmers Rd
Suite D
Greenville, SC 29605-1351
Phone
(864) 558-2365
Fax
(864) 299-5165
NPI assigned
Nov 12, 2010
Last updated
Feb 15, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
U.S. RENAL CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Thomas L. Weinberg
Title
Authorized Official
Phone
(214) 736-2700

Specialties & licenses 1

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

Addresses

Primary practice location

110 Chalmers Rd
Suite D
Greenville, SC 29605-1351

Mailing address

424 Church St
Suite 1900
Nashville, TN 37219-2387
Phone (615) 234-1188

Other names 1

  • U.S. Renal Care Pleasantburg Home Dialysis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110401000669 SC Part A Provider - End-Stage Renal Disease Facility (ESRD) 0749464568 Practice locations: Greenville, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
42D2051103Dsi Greenville,LLC110 Chalmers Road, Suite D, Greenville, SC 29605Certificate of waiverDec 12, 2026

National Provider Directory

National Provider Directory
Tax ID family
Dsi Greenville LLC2 organizations share this tax ID, including this one
Part of
US Renal Care Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

110 Chalmers Rd
Ste D
Greenville, SC 29605
Phone (864) 558-2365

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1639470222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 CHURCH ST",
            "address_2": "SUITE 1900",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192387",
            "telephone_number": "615-234-1188",
            "fax_number": "615-234-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHALMERS RD",
            "address_2": "SUITE D",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051351",
            "telephone_number": "864-558-2365",
            "fax_number": "864-299-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSI GREENVILLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2010-11-12",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Pleasantburg Home Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.