DVA HEALTHCARE OF MASSACHUSETTS INC
NPI 1205415593
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Medford, MA

Q: What is DVA Healthcare Of Massachusetts Inc's NPI number?

The NPI number for DVA Healthcare Of Massachusetts Inc is 1205415593. It was assigned to this organization in the NPPES registry on April 5, 2021. The provider is doing business as Mystic River Home Training.

Q: What is DVA Healthcare Of Massachusetts 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.

Active since April 05, 2021

712 FELLSWAY, MEDFORD, MA 02115(781) 957-4032(781) 957-4050 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2025, Apr 5, 2021 (2 updates tracked since 2021).

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About Dva Healthcare Of Massachusetts Inc NPPES

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

DVA HEALTHCARE OF MASSACHUSETTS INC (NPI 1205415593), doing business as Mystic River Home Training, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Medford, Massachusetts and active in the NPI registry since April 2021. The organization lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1205415593

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameDVA HEALTHCARE OF MASSACHUSETTS INC

Location Address712 FELLSWAYMedford, MA 02115

Mailing Address5200 Virginia Way, L And C DeptBrentwood, TN 37027-7569

Phone(781) 957-4032

Fax(781) 957-4050

Organization SubpartYesParent: Davita Inc

Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641

Enumeration DateApril 5, 2021

Last NPPES UpdateApril 7, 20252 updates tracked since enumeration

NPPES CertifiedApril 7, 2025

✔ NPI 1205415593 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

712 FELLSWAY, Medford, MA 02115

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Other Names 1

Doing Business AsMystic River Home Training

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

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 Of Massachusetts Inc's NPI number?

The NPI number for DVA Healthcare Of Massachusetts Inc is 1205415593. It was assigned to this organization in the NPPES registry on April 5, 2021. The provider is doing business as Mystic River Home Training.

Where is DVA Healthcare Of Massachusetts Inc located?

DVA Healthcare Of Massachusetts Inc is located at 712 Fellsway, Medford, MA 02115. The listed phone number is (781) 957-4032.

What is DVA Healthcare Of Massachusetts 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.

What insurance does DVA Healthcare Of Massachusetts Inc accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list DVA Healthcare Of Massachusetts 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 Of Massachusetts Inc was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.