WK RENAL DIALYSIS (WILLIS KNIGHTON MEDICAL CENTER, INC.) NPI 1003020579

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) in Shreveport, LA

NPI 1003020579 Organization Clinic/Center End-Stage Renal Disease (ESRD) Treatment Overall Rating

NPI Profile for WK RENAL DIALYSIS (WILLIS KNIGHTON MEDICAL CENTER, INC.)

Wk Renal Dialysis (willis Knighton Medical Center, Inc.) is a provider established in Shreveport, Louisiana specializing in clinic/center (end-stage renal disease (esrd) treatment) . The NPI number of Wk Renal Dialysis (willis Knighton Medical Center, Inc.) is 1003020579 and was assigned on May 2007. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Wk Renal Dialysis. The authorized official of this NPI record is Mary Jane Ward (Cfo)

According to the Dialysis Facility Compare program data, Wk Renal Dialysis has an average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 3 out of 5 stars.

NPI

1003020579

Provider NameWK RENAL DIALYSIS (WILLIS KNIGHTON MEDICAL CENTER, INC.)
Provider Location Address1111 LINE AVENUE SHREVEPORT, LA 71101
Provider Mailing Address2600 GREENWOOD RD SHREVEPORT, LA 71103
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameWK RENAL DIALYSIS
Other Name TypeDoing Business As (3)
Enumeration Date05-10-2007
Last Update Date02-17-2017


Primary Taxonomy

Taxonomy Code261QE0700X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationEnd-Stage Renal Disease (ESRD) Treatment

Business Address

WK RENAL DIALYSIS
1111 LINE AVENUE
SHREVEPORT, LA
ZIP 71101
Phone: (318) 212-4759

Get Directions


Mailing Address

WK RENAL DIALYSIS
2600 GREENWOOD RD
SHREVEPORT, LA
ZIP 71103
Phone:



Authorized Official

Authorized Official Name MARY JANE WARD
Authorized Official TitleCFO
Authorized Official Phone(318) 212-4384

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating
The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.
- 3 out of 5 stars - Average
Dialysis Facility TypeNon-Profit
Is it part of a chain?No
Corporate NameINDEPENDENT
Shifts Starting After 5PM Shifts Starting After 5PM
If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.
No
In-Center Hemodialysis In-Center Hemodialysis
Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.
Yes
Number of Hemodialysis Stations Number of Hemodialysis Stations
The number of hemodialysis stations in the dialysis facility.
13
Peritoneal Dialysis Peritoneal Dialysis
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.
No
Home Hemodialysis Training Home Hemodialysis Training
If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.
No
Certification or Recertification Date06-12-1989

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
192308MEDICARE ID-TYPE UNSPECIFIED (04)LA

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003020579
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003020514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 2 + 0 + 5 + 1 + 4 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 99

The NPI number 1003020579 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710039896WILLIS KNIGHTON MEDICAL CENTER, INC.
Organization
Rehabilitation Unit1111 LINE AVENUE
SHREVEPORT, LA 71101
(318) 212-4877
1912059932WILLIS KNIGHTON MEDICAL CENTER, INC.
Organization
Psychiatric Unit1111 LINE AVENUE
SHREVEPORT, LA 71101
(318) 212-5000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Wk Renal Dialysis is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.