Organization Active NPI

Cahita Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Wilmington, NC
National Provider Identifier
1720826480
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
CAHITA DIALYSIS, LLC
Practice address
150 Hays LN Ste 150
Wilmington, NC 28411-3104
Phone
(615) 341-5875
NPI assigned
Jul 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Samuel Wey
Title
VP, Licensure & Certification
Phone
(800) 467-4736

Specialties & licenses 1

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

Addresses

Primary practice location

150 Hays LN Ste 150
Wilmington, NC 28411-3104

Mailing address

5200 Virginia Way
L & C Department
Brentwood, TN 37027-5117
Phone (615) 341-5875

Other names 1

  • Ogden Park Home Training Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250425001386 NC Part A Provider - End-Stage Renal Disease Facility (ESRD) 4688190325 Practice locations: Wilmington, NC

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
DaVita Ogden Park Home TrainingCCN 342773
Ownership
Profit
Certified
Jun 4, 2025
Medicare certification status
ActiveFrom the Provider of Services file
Chain
DaVita
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 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
34D2311990Ogden Park Home Training150 Hays LNM Ste 150, Wilmington, NC 28411Certificate of waiverOct 1, 2026

National Provider Directory

National Provider Directory

Locations

150 Hays Ln
Ste 150
Wilmington, NC 28411
Phone (615) 341-5875

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": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1720826480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L & C DEPARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275117",
            "telephone_number": "615-341-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HAYS LN STE 150",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284113104",
            "telephone_number": "615-341-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAHITA DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "VP, LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "800-467-4736"
    },
    "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": "Ogden Park Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.