KENDALLVILLE RENAL CENTER
NPI 1205017811
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Kendallville, IN

Active since November 26, 2007CLIA 15D1077858 · Waiver
4/5
Overall Rating
602 N SAWYER RD, KENDALLVILLE, IN 46755(260) 599-0423(260) 599-0447 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2024, Aug 18, 2023, Nov 24, 2020 and 1 more (4 updates tracked since 2019).

About Kendallville Renal Center NPPES

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

KENDALLVILLE RENAL CENTER (NPI 1205017811) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Kendallville, Indiana and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1205017811
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameISD KENDALLVILLE LLC
Location Address602 N SAWYER RDKendallville, IN 46755-2566
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569
Fax(260) 599-0447
Organization SubpartNo
Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateNovember 26, 2007
Last NPPES UpdateAugust 1, 20244 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
NPI 1205017811 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
602 N SAWYER RD, Kendallville, IN 46755

Other Names 1

Doing Business AsKendallville Renal Center

Other Identifiers 1

Medicaid200899260AIN

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 15D1077858

Kendallville Renal Center · Kendallville, IN
Active · expires Dec 19, 2027
CLIA Number15D1077858
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorKanakapura Venkatakrishna
Laboratory Phone(260) 599-0423
Laboratory LocationKendallville Renal Center602 Sawyer Rd, Kendallville, IN 46755
CLIA data matches this NPI record on: Name Phone
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 Kendallville Renal Center (CMS certification number 152625), from CMS Care Compare.

DaVita Kendallville Renal Center

Dialysis facility · Kendallville, IN
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number152625
ESRD NetworkNetwork 9
Hemodialysis Stations20
Medicare-Certified SinceJune 19, 2008
Location602 SAWYER ROADKendallville, IN 46755 · Noble County
Services Offered
In-center hemodialysis

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
70% 4/5
Dialysis center care and operations
Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.
65% 4/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
87% 5/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
64% 3/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
74% 4/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
72% 3/5
Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

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 Isd Kendallville LLC's NPI number?

The NPI number for Isd Kendallville LLC is 1205017811. It was assigned to this organization in the NPPES registry on November 26, 2007. The provider is doing business as Kendallville Renal Center.

Where is Isd Kendallville LLC located?

Isd Kendallville LLC is located at 602 N Sawyer Rd, Kendallville, IN 46755. The listed phone number is (260) 599-0423.

What is Isd Kendallville 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 Isd Kendallville LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1077858) is associated with this NPI, valid through December 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Isd Kendallville LLC a Medicare-certified dialysis facility?

Yes. DaVita Kendallville Renal Center is a Medicare-certified dialysis facility, certified since June 19, 2008.

What quality rating does Isd Kendallville LLC have?

CMS rates DaVita Kendallville Renal Center 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Isd Kendallville LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Isd Kendallville 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 Isd Kendallville LLC was last updated on August 1, 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.