Traville Dialysis, LLC

Primary specialty

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

Legal business name

TRAVILLE DIALYSIS, LLC

Doing business as

Boiling Springs Dialysis

Practice address

196 Sloane Garden Rd
Boiling Springs, SC 29316-1929

Phone

(864) 814-7395

Fax

(864) 814-7899

NPI assigned

Apr 7, 2020

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

• Boiling Springs Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

DaVita Boiling Springs DialysisCCN 422684

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Dec 9, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

16

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 2

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

• Dva Healthcare Renal Care Inc

  dba Three Chopt Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Richmond, VA
  • NPI 1154385375

  Member Of

  NPD member
• Isd Renal Inc

  dba South Dean Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Englewood, NJ
  • NPI 1245891670

  Member Of

  NPD member

Locations

Affiliated clinicians 1

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

• Barry R. Gorlitsky, MD

  • Nephrology Physician
  • Greenville, SC
  • NPI 1881823276

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1912536384",
    "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": "196 SLOANE GARDEN RD",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293161929",
            "telephone_number": "864-814-7395",
            "fax_number": "864-814-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVILLE DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "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": "RE0102",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boiling Springs Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boiling Springs Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thrive Pediatric Therapy, LLC
• Timmons Dental, LLC
• Stephen Chase Timmons, DMD
• Norma Tipton
• Olivia Jillian Trapp, RD
• Amanda Marie Trhlin
• Karen Souza Tucker, RN
• Jennie Ruth Turner, LMT
• Upstate Support Services, LLC
• Rachel Vizcaya, PA-C

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Boiling Springs, SC
• Providers in Boiling Springs, SC by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Carolina

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

Verify at the official NPI Registry.