MARYVILLE HOME DIALYSIS
NPI 1215134259
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Maryville, IL

Q: What is Renal Treatment Centers-Illinois Inc's NPI number?

The NPI number for Renal Treatment Centers-Illinois Inc is 1215134259. It was assigned to this organization in the NPPES registry on July 2, 2007. The provider is doing business as Maryville Home Dialysis.

Q: What is Renal Treatment Centers-Illinois 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.

Q: What quality rating does Renal Treatment Centers-Illinois Inc have?

CMS rates DaVita Maryville Home Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since July 02, 2007CLIA 14D1071941 · Waiver

2/5

Overall Rating

2102 VADALABENE DR STE B, MARYVILLE, IL 62062(618) 288-1521(618) 288-1759 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2024, Aug 28, 2023, Nov 22, 2022 and 4 more (7 updates tracked since 2019).

On this page

About Maryville Home Dialysis NPPES

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

MARYVILLE HOME DIALYSIS (NPI 1215134259) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Maryville, Illinois and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through August 5, 2027 and lists Samuel T Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1215134259

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameRENAL TREATMENT CENTERS-ILLINOIS INC

Location Address2102 VADALABENE DR STE BMaryville, IL 62062-5632

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569

Phone(618) 288-1521

Fax(618) 288-1759

Organization SubpartNo

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

Enumeration DateJuly 2, 2007

Last NPPES UpdateNovember 21, 20247 updates tracked since enumeration

NPPES CertifiedNovember 21, 2024

✔ NPI 1215134259 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

2102 VADALABENE DR STE B, Maryville, IL 62062

Open in Google Maps ↗

Other Names 1

Doing Business AsMaryville Home 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 14D1071941

Maryville Home Dialylsis · Maryville, IL

Active · expires Aug 5, 2027

CLIA Number14D1071941

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateAugust 6, 2025

Certificate Expiration DateAugust 5, 2027

Laboratory DirectorHenry E. Purcell

Laboratory Phone(618) 280-0703

Laboratory LocationMaryville Home Dialylsis2102 Vadalabene Dr, Ste B, Maryville, IL 62062

CLIA data matches this NPI record on: Address

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 Maryville Home Dialysis (CMS certification number 142686), from CMS Care Compare.

DaVita Maryville Home Dialysis

Dialysis facility · Maryville, IL

2/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number142686

ESRD NetworkNetwork 10

Hemodialysis Stations2

Medicare-Certified SinceOctober 19, 2007

Location2102 Vadalabene Drive Suite BMaryville, IL 62062 · Madison County

Phone(618) 288-1521

Services Offered

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 Renal Treatment Centers-Illinois Inc's NPI number?

The NPI number for Renal Treatment Centers-Illinois Inc is 1215134259. It was assigned to this organization in the NPPES registry on July 2, 2007. The provider is doing business as Maryville Home Dialysis.

Where is Renal Treatment Centers-Illinois Inc located?

Renal Treatment Centers-Illinois Inc is located at 2102 Vadalabene Dr Ste B, Maryville, IL 62062. The listed phone number is (618) 288-1521.

What is Renal Treatment Centers-Illinois 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 Renal Treatment Centers-Illinois Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1071941) is associated with this NPI, valid through August 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Renal Treatment Centers-Illinois Inc a Medicare-certified dialysis facility?

Yes. DaVita Maryville Home Dialysis is a Medicare-certified dialysis facility, certified since October 19, 2007.

What quality rating does Renal Treatment Centers-Illinois Inc have?

CMS rates DaVita Maryville Home Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Renal Treatment Centers-Illinois Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Renal Treatment Centers-Illinois 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 Renal Treatment Centers-Illinois Inc was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.