Locuston Dialysis, LLC

Primary specialty

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

Legal business name

LOCUSTON DIALYSIS, LLC

Practice address

2105 Harden Blvd
Lakeland, FL 33803-5918

Phone

(863) 284-0534

Fax

(863) 284-1140

NPI assigned

Jun 5, 2019

Organization subpart

No

Name

Samuel T Wey

Title

VP, Licensure & Certification

Phone

(615) 341-6641

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

• Central Florida Kidney Care PA

  • Nephrology Physician
  • Lakeland, FL
  • NPI 1144396821
  NPD member Member Of
• Lakeland Regional Health Systems, Inc.

  • Multi-Specialty Clinic/Center
  • Lakeland, FL
  • NPI 1497748743
  NPD member Member Of
• Lakeland Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Lakeland, FL
  • NPI 1144228446
  NPD member Member Of
• Total Renal Care Inc

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

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

• Michael J Achinger, MD

  • Nephrology Physician
  • Lakeland, FL
  • NPI 1932170586
  Care Compare affiliation Name & address match Dialysis facility
• Umair Syed Ahmed, M.D.

  • Nephrology Physician
  • Lakeland, FL
  • NPI 1275830341
  Care Compare affiliation Name & address match Dialysis facility
• Bermily Maldonado-Colon, MD

  • Nephrology Physician
  • Lakeland, FL
  • NPI 1790969749
  Care Compare affiliation Name & address match Dialysis facility

Listed as

DaVita Harden DialysisCCN 682681

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Dec 4, 2019

Medicare certification status

Active (Provider of Services file)

Chain

DaVita

Dialysis stations

15

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in FL

Locations

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

• Harden Dialysis Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 28, 2025.

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1770141665",
    "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": "2105 HARDEN BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035918",
            "telephone_number": "863-284-0534",
            "fax_number": "863-284-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCUSTON DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "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": "105379000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harden Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harden Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles D. Llano, D.D.S.
• Kiara C Llerena
• Llhha LLC
• Jasmine Lockard
• Chalsey Shiree Lockhart, PA
• Christopher Paul Lodenquai, DMD
• Polly Anna Loeber
• Giulia Loffreda-Mancinelli
• Mariann Loffredi, MD
• Donna J Lohren, CRNA

• All providers in Lakeland, FL
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.