Organization Active NPI

Ara-Forest Park Dialysis LLC

Doing business as Forest Park Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Richmond, VA
National Provider Identifier
1912910159
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ARA-FOREST PARK DIALYSIS LLC
Doing business as
Forest Park Dialysis Center
Practice address
1603 Santa Rosa Rd
Suite 100
Richmond, VA 23229-5010
Phone
(804) 288-2751
Fax
(804) 288-2752
NPI assigned
Aug 15, 2006
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sara Anne Brady
Title
Chief Nursing Officer
Phone
(208) 371-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

1603 Santa Rosa Rd
Suite 100
Richmond, VA 23229-5010

Mailing address

1603 Santa Rosa Rd
Suite 100
Richmond, VA 23229-5010
Phone (804) 288-2751

Other identifiers 1

IdentifierTypeStateIssuer
010140064MedicaidVA

Other names 1

  • Forest Park Dialysis Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041216000250 VA Part A Provider - End-Stage Renal Disease Facility (ESRD) 4688631179 Practice locations: Richmond, VA

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Forest Park Dialysis CenterCCN 492628
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Feb 3, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Chain
American Renal Associates
Dialysis stations
16

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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1034833Forest Park Dialysis Center1603 Santa Rosa Road, Suite 100, Richmond, VA 23229Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory

Locations

1603 Santa Rosa Rd
Rm 100
Richmond, VA 23229
Phone (804) 288-2751

1603 Santa Rosa Rd
Ste 100
Richmond, VA 23229

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": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1912910159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 SANTA ROSA RD",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295010",
            "telephone_number": "804-288-2751",
            "fax_number": "804-288-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 SANTA ROSA RD",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295010",
            "telephone_number": "804-288-2751",
            "fax_number": "804-288-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARA-FOREST PARK DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "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": "010140064",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Park Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Forest Park Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.