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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DVA HEALTHCARE RENAL CARE, INC.
NPI 1184691131
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Greenville, FL

Active since March 08, 2006
193 NW US HWY 221, GREENVILLE, FL 32331(850) 601-3164(850) 601-3166 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2026, Aug 25, 2023, Apr 14, 2023 and 4 more (7 updates tracked since 2016).

About Dva Healthcare Renal Care, Inc. NPPES

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

DVA HEALTHCARE RENAL CARE, INC. (NPI 1184691131), doing business as Four Freedoms Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Greenville, Florida and active in the NPI registry since March 2006. The organization lists Samuel T Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1184691131
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA HEALTHCARE RENAL CARE, INC.
Location Address193 NW US HWY 221Greenville, FL 32331
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(850) 601-3164
Fax(850) 601-3166
Organization SubpartNo
Authorized OfficialSamuel T WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateMarch 8, 2006
Last NPPES UpdateOctober 16, 20267 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1184691131 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
193 NW US HWY 221, Greenville, FL 32331
Open in Google Maps ↗

Other Names 1

Doing Business AsFour Freedoms Dialysis

Other Identifiers 1

Medicaid212509900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dva Healthcare Renal Care, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20030523000005Part A · End-Stage Renal Disease Facility (ESRD)Due dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Four Freedoms Dialysis (CMS certification number 102737), from CMS Care Compare.

DaVita Four Freedoms Dialysis

Dialysis facility · Madison, FL
OwnershipProfit
ChainDaVita
CMS Certification Number102737
ESRD NetworkNetwork 7
Hemodialysis Stations14
Medicare-Certified SinceOctober 5, 1998
Location289 SW RANGE AVE STE AMadison, FL 32340 · Madison County
Phone(850) 973-3852
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 DVA Healthcare Renal Care, Inc.'s NPI number?

The NPI number for DVA Healthcare Renal Care, Inc. is 1184691131. It was assigned to this organization in the NPPES registry on March 8, 2006. The provider is doing business as Four Freedoms Dialysis.

Where is DVA Healthcare Renal Care, Inc. located?

DVA Healthcare Renal Care, Inc. is located at 193 NW Us Hwy 221, Greenville, FL 32331. The listed phone number is (850) 601-3164.

What is DVA Healthcare Renal Care, Inc.'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 DVA Healthcare Renal Care, Inc. enrolled in Medicare?

Yes. DVA Healthcare Renal Care, Inc. is registered in the Medicare PECOS enrollment system.

When is DVA Healthcare Renal Care, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Florida, End-Stage Renal Disease Facility (ESRD)) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Is DVA Healthcare Renal Care, Inc. a Medicare-certified dialysis facility?

Yes. DaVita Four Freedoms Dialysis is a Medicare-certified dialysis facility, certified since October 5, 1998.

What insurance does DVA Healthcare Renal Care, Inc. accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Capital Health Plan and Cigna HealthCare of Florida, Inc. and 5 other insurers list DVA Healthcare Renal Care, Inc. 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 DVA Healthcare Renal Care, Inc. was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.