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KIDNEY CENTER SOUTH LLC
NPI 1063878072
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tinley Park, IL

Active since January 06, 2016
3/5
Overall Rating
16767 80TH AVE, TINLEY PARK, IL 60477(708) 429-4738(708) 429-4984 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2025, Jan 20, 2023, Aug 25, 2020 and 1 more (4 updates tracked since 2020).

About Kidney Center South Llc NPPES

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

KIDNEY CENTER SOUTH LLC (NPI 1063878072), doing business as Tinley Park Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tinley Park, Illinois and active in the NPI registry since January 2016. The organization lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1063878072
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKIDNEY CENTER SOUTH LLC
Location Address16767 80TH AVETinley Park, IL 60477-2361
Mailing Address5200 Virginia Way, L&c DepartmentBrentwood, TN 37027-7569
Phone(708) 429-4738
Fax(708) 429-4984
Organization SubpartNo
Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateJanuary 6, 2016
Last NPPES UpdateJune 11, 20254 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1063878072 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
16767 80TH AVE, Tinley Park, IL 60477
Open in Google Maps ↗

Other Names 1

Doing Business AsTinley Park Dialysis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Tinley Park Dialysis (CMS certification number 142810), from CMS Care Compare.

DaVita Tinley Park Dialysis

Dialysis facility · Tinley Park, IL
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number142810
ESRD NetworkNetwork 10
Hemodialysis Stations14
Medicare-Certified SinceDecember 17, 2016
Location16767 80th Ave.Tinley Park, IL 60477 · Cook County
Phone(708) 429-4738
Services Offered
In-center hemodialysis

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 Kidney Center South LLC's NPI number?

The NPI number for Kidney Center South LLC is 1063878072. It was assigned to this organization in the NPPES registry on January 6, 2016. The provider is doing business as Tinley Park Dialysis.

Where is Kidney Center South LLC located?

Kidney Center South LLC is located at 16767 80th Ave, Tinley Park, IL 60477. The listed phone number is (708) 429-4738.

What is Kidney Center South 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.

Is Kidney Center South LLC a Medicare-certified dialysis facility?

Yes. DaVita Tinley Park Dialysis is a Medicare-certified dialysis facility, certified since December 17, 2016.

What quality rating does Kidney Center South LLC have?

CMS rates DaVita Tinley Park Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Kidney Center South LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers list Kidney Center South 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 Kidney Center South LLC was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.