1. Home
  2. Directory
  3. Kentucky
  4. Jenkins
  5. Clinic Center
  6. NPI Profile

RAVEN ROCK DIALYSIS
NPI 1235194184
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Jenkins, KY

Active since April 20, 2006CLIA 18D1011482 · Waiver
3/5
Overall Rating
483 GATEWAY INDUSTRIAL PARK, JENKINS, KY 41537(606) 832-2070(606) 832-2345 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2023, Oct 14, 2022, Apr 21, 2022 and 2 more (5 updates tracked since 2015).

About Raven Rock Dialysis NPPES

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

RAVEN ROCK DIALYSIS (NPI 1235194184) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Jenkins, Kentucky and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Samuel T Wey, Sr Director Licensure&certification, as its authorized official.

NPPES Registry Identity

NPI1235194184
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address483 GATEWAY INDUSTRIAL PARKJenkins, KY 41537-9209
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569 · (615) 238-3051 · Fax (800) 246-8346
Phone(606) 832-2070
Fax(606) 832-2345
Organization SubpartNo
Authorized OfficialSamuel T WeySr Director Licensure&certification · (615) 341-6641
Enumeration DateApril 20, 2006
Last NPPES UpdateSeptember 25, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2023
✔ NPI 1235194184 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
License✔ Licensed in KY · 300155
483 GATEWAY INDUSTRIAL PARK, Jenkins, KY 41537
Open in Google Maps ↗

Other Names 1

Doing Business AsRaven Rock Dialysis

Other Identifiers 1

Medicaid7100000450KY

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 18D1011482

Raven Rock Dialysis · Jenkins, KY
Active · expires Apr 10, 2027
CLIA Number18D1011482
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorDr. Kurt Sowers
Laboratory Phone(606) 633-3232
Laboratory LocationRaven Rock Dialysis483 Gateway Industrial Parkway, Jenkins, KY 41537
CLIA data matches this NPI record on: 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 Raven Rock Dialysis (CMS certification number 182566), from CMS Care Compare.

DaVita Raven Rock Dialysis

Dialysis facility · Jenkins, KY
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number182566
ESRD NetworkNetwork 9
Hemodialysis Stations11
Medicare-Certified SinceMarch 1, 2003
Location483 GATEWAY INDUSTRIAL PARKJenkins, KY 41537 · Letcher County
Phone(606) 832-2070
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 Total Renal Care Inc's NPI number?

The NPI number for Total Renal Care Inc is 1235194184. It was assigned to this organization in the NPPES registry on April 20, 2006. The provider is doing business as Raven Rock Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 483 Gateway Industrial Park, Jenkins, KY 41537. The listed phone number is (606) 832-2070.

What is Total 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 Total Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1011482) is associated with this NPI, valid through April 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Total Renal Care Inc a Medicare-certified dialysis facility?

Yes. DaVita Raven Rock Dialysis is a Medicare-certified dialysis facility, certified since March 1, 2003.

What quality rating does Total Renal Care Inc have?

CMS rates DaVita Raven Rock Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Total Renal Care Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, CareSource and UnitedHealthcare list Total 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 Total Renal Care Inc was last updated on September 25, 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.