Active NPI
Cahita Dialysis, LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Wilmington, NC
National Provider Identifier
1720826480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Training
- Ownership
- Profit
- Certified
- Jun 4, 2025
- Medicare certification status
- Active
- 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 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 |
|---|---|---|---|
| 34D2311990 | Ogden Park Home Training | Certificate of waiver | Oct 1, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.