Clyfee Dialysis LLC

Primary specialty

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

Legal business name

CLYFEE DIALYSIS LLC

Doing business as

EA Motto Dialysis

Practice address

1228 E Rusholme St Ste 1000
Davenport, IA 52803-2467

Phone

(563) 322-0101

Fax

(563) 322-2092

NPI assigned

Sep 5, 2014

Last updated

Feb 3, 2025By the provider in NPPES

Organization subpart

No

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

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EA Motto Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Listed as

DaVita E.A. Motto DialysisCCN 162559

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Oct 1, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

24

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

CLIA laboratory certificates

Member of 3

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

• Genesis Health System

  dba Genesis Emergency Physician

  • Emergency Medicine Physician
  • Davenport, IA
  • NPI 1902186364

  Member Of

  NPD member
• Kidney Care Quad Cities, LLC

  • Nephrology Physician
  • Moline, IL
  • NPI 1720227994

  Member Of

  NPD member
• Renal Treatment Centers-Illinois Inc

  dba St Louis Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saint Louis, MO
  • NPI 1942261482

  Member Of

  NPD member

Locations

Affiliated clinicians 2

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

• Mouhamed Walid Al Sheikha, MD

  • Nephrology Physician
  • Davenport, IA
  • NPI 1063418374

  Dialysis facility

  Care Compare affiliation Name & address match
• Paul Y Shin, MD

  • Nephrology Physician
  • Lafayette, IN
  • NPI 1821011594

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1821499245",
    "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": "1228 E RUSHOLME ST STE 1000",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032467",
            "telephone_number": "563-322-0101",
            "fax_number": "563-322-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLYFEE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821499245",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EA Motto Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EA Motto Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridget Mackenzie Clemens, PA-C
• Emily R Clifton, LMSW, LSW
• Clinical Hearing Solutions LLC
• Clinton Physical Therapy Services (Plaza Physical Therapy)
• Kristy L Clinton, APRN
• Kimberly Cobb, PT
• Tyson King Cobb, MD
• Danielle Marie Coberly
• Courtney Coers, RPH
• Dana Sue Coffman, CRNA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Davenport, IA
• Providers in Davenport, IA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.