DAIRY ASHFORD DIALYSIS
NPI 1154775534
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Houston, TX

Q: What is Bannack Dialysis LLC's NPI number?

The NPI number for Bannack Dialysis LLC is 1154775534. It was assigned to this organization in the NPPES registry on April 21, 2016. The provider is doing business as Dairy Ashford Dialysis.

Q: What is Bannack Dialysis 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.

Q: What quality rating does Bannack Dialysis LLC have?

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

Active since April 21, 2016CLIA 45D2119177 · Waiver

3/5

Overall Rating

12606 WESTPARK DR, HOUSTON, TX 77082(281) 679-1848(281) 496-2093 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2024, Dec 6, 2023, May 15, 2023 and 3 more (6 updates tracked since 2019).

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About Dairy Ashford Dialysis NPPES

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

DAIRY ASHFORD DIALYSIS (NPI 1154775534) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Houston, Texas and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1154775534

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameBANNACK DIALYSIS LLC

Location Address12606 WESTPARK DRHouston, TX 77082-5526

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569

Phone(281) 679-1848

Fax(281) 496-2093

Organization SubpartNo

Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641

Enumeration DateApril 21, 2016

Last NPPES UpdateJuly 17, 20246 updates tracked since enumeration

NPPES CertifiedJuly 17, 2024

✔ NPI 1154775534 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

12606 WESTPARK DR, Houston, TX 77082

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Other Names 1

Doing Business AsDairy Ashford Dialysis

Other Identifiers 1

Medicaid3746448-02TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 45D2119177

Dairy Ashford Dialysis · Houston, TX

Active · expires Sep 20, 2026

CLIA Number45D2119177

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateSeptember 21, 2024

Certificate Expiration DateSeptember 20, 2026

Laboratory DirectorWaseem Peracha

Laboratory Phone(281) 712-4854

Laboratory LocationDairy Ashford Dialysis12606 Westpark Dr, Houston, TX 77082

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 DaVita Dairy Ashford Dialysis (CMS certification number 672848), from CMS Care Compare.

DaVita Dairy Ashford Dialysis

Dialysis facility · Houston, TX

3/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number672848

ESRD NetworkNetwork 14

Hemodialysis Stations20

Medicare-Certified SinceMay 7, 2018

Location12606 West Park DriveHouston, TX 77082 · Harris County

Phone(281) 679-1848

Services Offered

In-center hemodialysis Peritoneal dialysis

Other Providers at the Same Location NPPES 2

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

FATEMEH KHAJEHEI PHARM-D

Pharmacist

12606 WESTPARK DR
HOUSTON, TX 77082

Harris County (281) 558-5653

JOHN TAFFOU FANGTANG PHARM.D.; DRPH

Pharmacist

12606 WESTPARK DR
HOUSTON, TX 77082

Harris County (281) 558-5653

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 Bannack Dialysis LLC's NPI number?

The NPI number for Bannack Dialysis LLC is 1154775534. It was assigned to this organization in the NPPES registry on April 21, 2016. The provider is doing business as Dairy Ashford Dialysis.

Where is Bannack Dialysis LLC located?

Bannack Dialysis LLC is located at 12606 Westpark Dr, Houston, TX 77082. The listed phone number is (281) 679-1848.

What is Bannack Dialysis 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 Bannack Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2119177) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Bannack Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Dairy Ashford Dialysis is a Medicare-certified dialysis facility, certified since May 7, 2018.

What quality rating does Bannack Dialysis LLC have?

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

What insurance does Bannack Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 12 other insurers list Bannack Dialysis 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 Bannack Dialysis LLC was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.