Southwest Rocky Mountain Dialysis LLC

Primary specialty

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

Legal business name

SOUTHWEST ROCKY MOUNTAIN DIALYSIS LLC

Doing business as

Montbello Dialysis

Practice address

4834 Chambers Rd
Denver, CO 80239-5152

Phone

(303) 371-1502

Fax

(303) 371-3627

NPI assigned

Jul 25, 2017

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 identifiers 1

Other names 1

• Montbello Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Southwest Rocky Mountain Dialysis LLC

  dba Red Rocks Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Littleton, CO
  • NPI 1346997996

  8022382662

  Same PAC ID

Listed as

DaVita Montbello DialysisCCN 062592

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jun 15, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

12

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

Davita Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Southwest Rocky Mountain Dialysis LLC

  dba Red Rocks Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Littleton, CO
  • NPI 1346997996
  NPD tax ID

Member of 2

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

• Total Renal Care Inc

  dba Edgewater Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockfrd, IL
  • NPI 1154997591

  Member Of

  NPD member
• Total Renal Care Inc

  dba Silverado Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Napa, CA
  • NPI 1295024206

  Member Of

  NPD member

Affiliated clinicians 2

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

• Galo F Garces, MD

  • Nephrology Physician
  • Denver, CO
  • NPI 1619956075

  Dialysis facility

  Care Compare affiliation Name & address match
• Clancy S Howard, MD

  • Nephrology Physician
  • Denver, CO
  • NPI 1336121623

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1639692288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATTN 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": "4834 CHAMBERS RD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802395152",
            "telephone_number": "303-371-1502",
            "fax_number": "303-371-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ROCKY MOUNTAIN DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000164742",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montbello Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montbello Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southport Healthcare Inc. (Amada Senior Care Denver West)
• Charles Southwell, D.C.
• Danielle Marie Southwell, RN
• Southwest Adams County Fire Protection District
• Southwest Neuromonitoring LLC
• Ericka Dawn Southwick, APN
• Debra Ann Southworth, RN
• Elise Southworth, MS, RD
• Michael Souza, RN
• Kendal Sowa, PT, DPT

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.