Active NPI
Pruneau Dialysis, LLC
Doing business as Ocala West Home Training
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ocala, FL
National Provider Identifier
1851794424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- PRUNEAU DIALYSIS, LLC
- Doing business as
- Ocala West Home Training
- Practice address
- 8615 SW 103Rd Street Rd
Ocala, FL 34481-9622 - Phone
- (352) 854-3099
- Fax
- (352) 854-3480
- NPI assigned
- Sep 26, 2014
- Last updated
- Jun 8, 2026
- 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
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
8615 SW 103Rd Street Rd
Ocala, FL 34481-9622
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014725500 | Medicaid | FL |
Other names 1
- Ocala West Home Training
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141022000142 | FL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 8224259908 | Practice locations: Ocala, FL |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Ocala West Home Training
- Overall star rating
- Ownership
- Profit
- Certified
- Jan 27, 2015
- 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 |
|---|---|---|---|
| 10D2086490 | Ocala West Home Training | Certificate of waiver | Nov 4, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Walker South Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Walker, LA
- NPI 1841682200
Member Of
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Practitioners & affiliated clinicians
Affiliated clinicians 4
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": "1411689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780876800000",
"number": "1851794424",
"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": "8615 SW 103RD STREET RD",
"city": "OCALA",
"state": "FL",
"postal_code": "344819622",
"telephone_number": "352-854-3099",
"fax_number": "352-854-3480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRUNEAU DIALYSIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-26",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014725500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ocala West Home Training",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ocala West Home Training",
"code": "3",
"type": "Doing Business As"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.