MINT HILL DIALYSIS
NPI 1205116167
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Mint Hill, NC

Active since August 24, 2011CLIA 34D2046061 · Waiver
4/5
Overall Rating
11308 HAWTHORNE DR, MINT HILL, NC 28227(704) 573-2549(704) 545-3747 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2023, Nov 2, 2022, Oct 28, 2022 and 3 more (6 updates tracked since 2017).

About Mint Hill Dialysis NPPES

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

MINT HILL DIALYSIS (NPI 1205116167) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Mint Hill, North Carolina and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through August 23, 2026 and lists Samuel T Wey, Sr Director,licensure&certification, as its authorized official.

NPPES Registry Identity

NPI1205116167
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA HEALTHCARE RENAL CARE INC
Location Address11308 HAWTHORNE DRMint Hill, NC 28227-9300
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4593 · Fax (800) 293-5872
Fax(704) 545-3747
Organization SubpartNo
Authorized OfficialSamuel T WeySr Director,licensure&certification · (615) 341-6641
Enumeration DateAugust 24, 2011
Last NPPES UpdateAugust 10, 20236 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
NPI 1205116167 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
11308 HAWTHORNE DR, Mint Hill, NC 28227

Other Names 1

Doing Business AsMint Hill Dialysis

Other Identifiers 1

Medicaid1205116167NC

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 34D2046061

Mint Hill Dialysis · Mint Hill, NC
Active · expires Aug 23, 2026
CLIA Number34D2046061
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorPeale Chuang
Laboratory Phone(704) 573-2549
Laboratory LocationMint Hill Dialysis11308 Hawthorne Dr, Mint Hill, NC 28227
CLIA data matches this NPI record on: Address 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 Mint Hill Dialysis (CMS certification number 342692), from CMS Care Compare.

DaVita Mint Hill Dialysis

Dialysis facility · Charlotte, NC
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number342692
ESRD NetworkNetwork 6
Hemodialysis Stations22
Medicare-Certified SinceNovember 2, 2012
Location11308 HAWTHORNE DRCharlotte, NC 28227 · Mecklenburg County
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 1205116167. It was assigned to this organization in the NPPES registry on August 24, 2011. The provider is doing business as Mint Hill Dialysis.

Where is DVA Healthcare Renal Care Inc located?

DVA Healthcare Renal Care Inc is located at 11308 Hawthorne Dr, Mint Hill, NC 28227. The listed phone number is (704) 573-2549.

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.

Does DVA Healthcare Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2046061) is associated with this NPI, valid through August 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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

Yes. DaVita Mint Hill Dialysis is a Medicare-certified dialysis facility, certified since November 2, 2012.

What quality rating does DVA Healthcare Renal Care Inc have?

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

What insurance does DVA Healthcare Renal Care Inc accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 7 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 August 10, 2023. 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.