HAZELWOOD DIALYSIS
NPI 1194786814
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Hazelwood, MO

Active since March 31, 2006CLIA 26D0987780 · Waiver
3/5
Overall Rating
637 DUNN RD, STE 125, HAZELWOOD, MO 63042(314) 731-8039(314) 731-8084 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2024, Oct 11, 2023, Feb 22, 2023 and 4 more (7 updates tracked since 2018).

About Hazelwood Dialysis NPPES

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

HAZELWOOD DIALYSIS (NPI 1194786814) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Hazelwood, Missouri and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1194786814
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA RENAL HEALTHCARE INC
Location Address637 DUNN RD, STE 125Hazelwood, MO 63042-1757
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Fax(314) 731-8084
Organization SubpartNo
Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateMarch 31, 2006
Last NPPES UpdateJuly 29, 20247 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
NPI 1194786814 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
637 DUNN RD, Hazelwood, MO 63042

Other Names 1

Doing Business AsHazelwood Dialysis

Other Identifiers 2

Medicaid505860106MO
Medicaid621323060048IL

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 26D0987780

Hazelwood Dialysis · Hazelwood, MO
Active · expires Jun 12, 2027
CLIA Number26D0987780
Laboratory TypeHome Health Agency
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorJay Seltzer
Laboratory Phone(314) 895-4419
Laboratory LocationHazelwood Dialysis637 Dunn Road, Hazelwood, MO 63042
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 Hazelwood Dialysis (CMS certification number 262589), from CMS Care Compare.

DaVita Hazelwood Dialysis

Dialysis facility · Hazelwood, MO
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number262589
ESRD NetworkNetwork 12
Hemodialysis Stations12
Medicare-Certified SinceAugust 17, 2001
Location637 Dunn Road #125Hazelwood, MO 63042 · Saint Louis County
Services Offered
In-center hemodialysis Evening shifts (after 5 PM)

Other Providers at the Same Location NPPES 14

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

Home Health
637 DUNN RD, STUITE 140
HAZELWOOD, MO 63042
Pediatrics
637 DUNN RD, SUITE 144
HAZELWOOD, MO 63042
Home Health
637 DUNN RD, SUITE 140
HAZELWOOD, MO 63042
Clinic/Center (Primary Care)
637 DUNN RD, SUITE 143
HAZELWOOD, MO 63042
In Home Supportive Care
637 DUNN RD, SUITE 140
HAZELWOOD, MO 63042
Family Medicine
637 DUNN RD, SUITE 101
HAZELWOOD, MO 63042
Physical Therapist (Orthopedic)
637 DUNN RD
HAZELWOOD, MO 63042
Physical Therapist
637 DUNN RD
HAZELWOOD, MO 63042

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 Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1194786814. It was assigned to this organization in the NPPES registry on March 31, 2006. The provider is doing business as Hazelwood Dialysis.

Where is DVA Renal Healthcare Inc located?

DVA Renal Healthcare Inc is located at 637 Dunn Rd Ste 125, Hazelwood, MO 63042. The listed phone number is (314) 731-8039.

What is DVA Renal Healthcare 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.

Does DVA Renal Healthcare Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0987780) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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

Yes. DaVita Hazelwood Dialysis is a Medicare-certified dialysis facility, certified since August 17, 2001.

What quality rating does DVA Renal Healthcare Inc have?

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

What insurance does DVA Renal Healthcare Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 11 other insurers list DVA Renal Healthcare 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 Renal Healthcare Inc was last updated on July 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.