Dva Healthcare Renal Care Inc

Primary specialty

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

License

026 Issued in LA

Legal business name

DVA HEALTHCARE RENAL CARE INC

Doing business as

Magnolia Dialysis

Practice address

1125 S Burnside Ave
Gonzales, LA 70737-4248

Phone

(225) 255-4070

Fax

(225) 255-4071

NPI assigned

Mar 18, 2006

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

• Magnolia Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

DaVita Magnolia DialysisCCN 192551

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jun 24, 1988

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

17

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

CDS of Zephyrhills194 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • New Orleans, LA
  • NPI 1548293921
  NPD tax ID
• Dva Healthcare Renal Care Inc

  dba Chateau Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Kenner, LA
  • NPI 1477512515
  NPD tax ID

Member of 1

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

• Dva Renal Healthcare Inc

  dba Pageland Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pageland, SC
  • NPI 1548222615

  Member Of

  NPD member

Affiliated clinicians 2

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

• Sudhir K Julka, MD

  • Nephrology Physician
  • Metairie, LA
  • NPI 1750498499

  Dialysis facility

  Care Compare affiliation Name & address match
• Amin Kamyar, M.D.

  • Nephrology Physician
  • Baton Rouge, LA
  • NPI 1306879960

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1760441802",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S BURNSIDE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374248",
            "telephone_number": "225-255-4070",
            "fax_number": "225-255-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVA HEALTHCARE RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-18",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "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": "LA",
            "license": "026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1385832",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dupre of Gonzales LLC (Dupre Pharmacy)
• Barry John Dupre
• Chris Anthony Dupre, RPH
• Sadie Lane Dupre, PT, DPT
• Kristen Durkee
• Raymond Earl Dyer, PT
• Earmax LLC
• Easy Care, Inc.
• Easy Care, Inc.
• Easy Care, Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Gonzales, LA
• Providers in Gonzales, LA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.