Golver Dialysis LLC

Primary specialty

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

Legal business name

GOLVER DIALYSIS LLC

Doing business as

Lee's Hill Dialysis

Practice address

4701 Spotsylvania Pkwy
Ste 109
Fredericksburg, VA 22407-9435

Phone

(540) 898-8004

Fax

(540) 710-9584

NPI assigned

Jan 19, 2017

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

• Lee's Hill Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

DaVita Lee's Hill DialysisCCN 492714

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Sep 11, 2017

Medicare certification status

ActiveFrom the 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

Member of 1

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

• Renal Treatment Centers Mid Atlantic Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Goldsboro, NC
  • NPI 1174086698

  Member Of

  NPD member

Locations

Affiliated clinicians 3

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

• Robert G Canady, M.D.

  • Nephrology Physician
  • Fredericksburg, VA
  • NPI 1629025234

  Dialysis facility

  Care Compare affiliation Name & address match
• Reginald Joseph, MD

  • Nephrology Physician
  • Fredericksburg, VA
  • NPI 1285895466

  Dialysis facility

  Care Compare affiliation Name & address match
• Usman Javed Rahmat

  • Nephrology Physician
  • Fredericksburg, VA
  • NPI 1306007067

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1952847675",
    "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",
            "telephone_number": "615-320-4214",
            "fax_number": "866-944-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SPOTSYLVANIA PKWY",
            "address_2": "STE 109",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079435",
            "telephone_number": "540-898-8004",
            "fax_number": "540-710-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLVER DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "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": "1952847675",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee's Hill Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lee's Hill Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley. Yvette Golden, M.ED., B.S
• Michelle Goldman, FNP
• Michael Philip Golka, DDS
• Benita Gollamudi
• Nagalatha Gollapalli, DDS
• George Tendero Gonzales, MD
• Edith Socorro Gonzalez Jaimes, D.D.S.
• Irma Gonzalez Medrano, RBT
• Conrado C Gonzalez Jr., MD
• Evan Gonzalez, PA-C

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.