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MATTOON DIALYSIS
NPI 1194794487
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Charleston, IL

Active since March 17, 2006CLIA 14D0860576 · Waiver
3/5
Overall Rating
6051 DEVELOPMENT DR, CHARLESTON, IL 61920(217) 345-2550(217) 345-5770 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2024, Dec 6, 2023, Aug 8, 2023 and 4 more (7 updates tracked since 2018).

About Mattoon Dialysis NPPES

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

MATTOON DIALYSIS (NPI 1194794487) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Charleston, Illinois and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through October 26, 2026 and lists Samuel T Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1194794487
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA RENAL HEALTHCARE INC
Location Address6051 DEVELOPMENT DRCharleston, IL 61920-9467
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(217) 345-2550
Fax(217) 345-5770
Organization SubpartNo
Authorized OfficialSamuel T WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateMarch 17, 2006
Last NPPES UpdateNovember 6, 20247 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1194794487 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
6051 DEVELOPMENT DR, Charleston, IL 61920
Open in Google Maps ↗

Other Names 1

Doing Business AsMattoon 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 ›

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 14D0860576

Mattoon Dialysis (d/B/A) Dva Renal Healthcare Inc · Charleston, IL
Active · expires Oct 26, 2026
CLIA Number14D0860576
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorPradeep Mehta
Laboratory Phone(708) 671-1483
Laboratory LocationMattoon Dialysis (d/B/A) Dva Renal Healthcare Inc6051 Development Dr, Charleston, IL 61920
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 Mattoon Dialysis (CMS certification number 142585), from CMS Care Compare.

DaVita Mattoon Dialysis

Dialysis facility · Charleston, IL
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number142585
ESRD NetworkNetwork 10
Hemodialysis Stations18
Medicare-Certified SinceJanuary 1, 1998
Location6051 DEVELOPEMENT DRIVECharleston, IL 61920 · Coles County
Phone(217) 345-2550
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

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 1194794487. It was assigned to this organization in the NPPES registry on March 17, 2006. The provider is doing business as Mattoon Dialysis.

Where is DVA Renal Healthcare Inc located?

DVA Renal Healthcare Inc is located at 6051 Development Dr, Charleston, IL 61920. The listed phone number is (217) 345-2550.

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 14D0860576) is associated with this NPI, valid through October 26, 2026. 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 Mattoon Dialysis is a Medicare-certified dialysis facility, certified since January 1, 1998.

What quality rating does DVA Renal Healthcare Inc have?

CMS rates DaVita Mattoon 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 Home State Health and UnitedHealthcare 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 November 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.