PURE LIFE RENAL OF WEST PALM BEACH, LLC
NPI 1013482215
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in West Palm Beach, FL

Active since October 04, 2018CLIA 10D0979132 · Waiver
1/5
Overall Rating
1522 N DIXIE HWY, WEST PALM BEACH, FL 33401(954) 962-5733 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 30, 2020, Oct 24, 2018, Oct 4, 2018 (3 updates tracked since 2018).

About Pure Life Renal Of West Palm Beach, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PURE LIFE RENAL OF WEST PALM BEACH, LLC (NPI 1013482215) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in West Palm Beach, Florida and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through October 15, 2026 and lists Jeff Fernandez, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1013482215
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePURE LIFE RENAL OF WEST PALM BEACH, LLC
Location Address1522 N DIXIE HWYWest Palm Beach, FL 33401-2720
Mailing Address4000 Hollywood Blvd Ste 300nHollywood, FL 33021-1242 · (954) 962-5733
Organization SubpartNo
Authorized OfficialJeff FernandezChief Financial Officer · (954) 962-5733
Enumeration DateOctober 4, 2018
Last NPPES UpdateDecember 30, 20203 updates tracked since enumeration
NPPES CertifiedDecember 30, 2020
NPI 1013482215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
1522 N DIXIE HWY, West Palm Beach, FL 33401

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0979132

Pure Life Renal Of West Palm Beach, LLC · West Palm Beach, FL
Active · expires Oct 15, 2026
CLIA Number10D0979132
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorSergio Vega
Laboratory Phone(561) 833-5355
Laboratory LocationPure Life Renal Of West Palm Beach, LLC1522 N Dixie Hwy, West Palm Beach, FL 33401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Pure Life Renal Of West Palm Beach, LLC (CMS certification number 102777), from CMS Care Compare.

Pure Life Renal Of West Palm Beach, LLC

Dialysis facility · West Palm Beach, FL
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainOther
CMS Certification Number102777
ESRD NetworkNetwork 7
Hemodialysis Stations19
Medicare-Certified SinceMarch 20, 2001
Location1522 N DIXIE HWYWest Palm Beach, FL 33401 · Palm Beach County
Services Offered
In-center hemodialysis Peritoneal dialysis

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1522 N DIXIE HWY, WEST PAL DIALYSIS, LLC - CKD SERVICES
WEST PALM BEACH, FL 33401
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1522 N DIXIE HWY
WEST PALM BEACH, FL 33401
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1522 N DIXIE HWY, CKD SERVICES OF RCG W. PALM BEACH
WEST PALM BEACH, FL 33401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pure Life Renal Of West Palm Beach, LLC's NPI number?

The NPI number for Pure Life Renal Of West Palm Beach, LLC is 1013482215. It was assigned to this organization in the NPPES registry on October 4, 2018.

Where is Pure Life Renal Of West Palm Beach, LLC located?

Pure Life Renal Of West Palm Beach, LLC is located at 1522 N Dixie Hwy, West Palm Beach, FL 33401. The listed phone number is (954) 962-5733.

What is Pure Life Renal Of West Palm Beach, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Pure Life Renal Of West Palm Beach, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0979132) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Pure Life Renal Of West Palm Beach, LLC a Medicare-certified dialysis facility?

Yes. Pure Life Renal Of West Palm Beach, LLC is a Medicare-certified dialysis facility, certified since March 20, 2001.

What quality rating does Pure Life Renal Of West Palm Beach, LLC have?

CMS rates Pure Life Renal Of West Palm Beach, LLC 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Pure Life Renal Of West Palm Beach, LLC accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Pure Life Renal Of West Palm Beach, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pure Life Renal Of West Palm Beach, LLC was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.