Active NPI
Talimena Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Miami Gardens, FL
National Provider Identifier
1699102715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- TALIMENA DIALYSIS LLC
- Practice address
- 15600 NW 15TH Ave
Ste D
Miami Gardens, FL 33169-5609 - Phone
- (305) 621-1328
- Fax
- (305) 621-6272
- NPI assigned
- Oct 3, 2013
- 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
- Samuel T Wey, AO
- Title
- VP, Licensure & Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
15600 NW 15TH Ave
Ste D
Miami Gardens, FL 33169-5609
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Phone (615) 320-4593
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012597300 | Medicaid | FL |
Other names 1
- Golden Glades Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131202000195 | FL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 7113153834 | Practice locations: Miami Gardens, FL |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Golden Glades Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- May 29, 2014
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 20
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 |
|---|---|---|---|
| 10D2067420 | Golden Glades Dialysis | Certificate of waiver | Oct 14, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Napa, CA
- NPI 1295024206
Member Of
Locations
15600 NW 15th Ave
Ste D
Miami Gardens, FL 33169
Phone (305) 621-1328
Networks
- HealthSun Health Plans Network
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Affiliated clinicians 5
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": "1380758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701907200000",
"number": "1699102715",
"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",
"telephone_number": "615-320-4593",
"fax_number": "800-293-5872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15600 NW 15TH AVE",
"address_2": "STE D",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695609",
"telephone_number": "305-621-1328",
"fax_number": "305-621-6272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TALIMENA DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-03",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"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",
"authorized_official_credential": "AO"
},
"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": "012597300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Golden Glades Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Golden Glades Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.