Los Arcos Dialysis LLC

Primary specialty

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

Legal business name

LOS ARCOS DIALYSIS LLC

Practice address

3200 Cooper Foster Park Rd W
Lorain, OH 44053-3654

Phone

(440) 989-1410

Fax

(440) 989-1417

NPI assigned

Jan 12, 2010

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

• Amherst Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

DaVita Amherst DialysisCCN 362766

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jan 19, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

19

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.

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Locations

Affiliated clinicians 3

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

• George Michael Bescak, D.O.

  • Nephrology Physician
  • Amherst, OH
  • NPI 1235102765

  Dialysis facility

  Care Compare affiliation Name & address match
• Wassim A El-Hitti, M.D.

  • Nephrology Physician
  • Westlake, OH
  • NPI 1669441580

  Dialysis facility

  Care Compare affiliation Name & address match
• Romeo Sapuriada Miclat, M.D.

  • Nephrology Physician
  • Elyria, OH
  • NPI 1558346783

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1982934139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "ATT: 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": "3200 COOPER FOSTER PARK RD W",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533654",
            "telephone_number": "440-989-1410",
            "fax_number": "440-989-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ARCOS DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "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": "3137653",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amherst Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amherst Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorain Pathology Services Inc
• Lorain Preparatory High School
• Lorain Prepartory Academy
• Lorain Surgery Center, LLC
• Lorain Urban Minority Alcoholism and Drug Abuse Outreach Program
• Randall S Loudenslager, O.D.
• Kathy Loughrie, RN
• Amarava D Love-Scott, L.P.N
• Shirley M Lowe
• Kayla Lowery

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lorain, OH
• Providers in Lorain, OH by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.