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COLLEGE PARK DIALYSIS
NPI 1235579509
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in The Woodlands, TX

Active since July 01, 2013CLIA 45D2068658 · Waiver
2/5
Overall Rating
17191 ST LUKES WAY STE 100, THE WOODLANDS, TX 77384(936) 273-3350(936) 273-4539 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2024, Mar 7, 2024, Jun 2, 2020 and 1 more (4 updates tracked since 2019).

About College Park Dialysis NPPES

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

COLLEGE PARK DIALYSIS (NPI 1235579509) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in The Woodlands, Texas and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists Samuel T Wey, Vp Licensure&certification, as its authorized official.

NPPES Registry Identity

NPI1235579509
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameUKIAH DIALYSIS LLC
Location Address17191 ST LUKES WAY STE 100The Woodlands, TX 77384-8043
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(936) 273-3350
Fax(936) 273-4539
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure&certification · (615) 341-6641
Enumeration DateJuly 1, 2013
Last NPPES UpdateJuly 17, 20244 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1235579509 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
17191 ST LUKES WAY STE 100, The Woodlands, TX 77384
Open in Google Maps ↗

Other Names 1

Doing Business AsCollege Park Dialysis

Other Identifiers 1

Medicaid3432759-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 45D2068658

College Park Dialysis · The Woodlands, TX
Active · expires Nov 7, 2027
CLIA Number45D2068658
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorBarry Neeland
Laboratory Phone(936) 273-3350
Laboratory LocationCollege Park Dialysis17191 St Lukes Way, Ste 100, The Woodlands, TX 77384
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 College Park Dialysis (CMS certification number 672745), from CMS Care Compare.

DaVita College Park Dialysis

Dialysis facility · The Woodlands, TX
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number672745
ESRD NetworkNetwork 14
Hemodialysis Stations24
Medicare-Certified SinceOctober 6, 2014
Location17191 ST LUKES WAY SUITE 100The Woodlands, TX 77384 · Montgomery County
Phone(936) 273-3350
Services Offered
In-center hemodialysis Peritoneal dialysis

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 Ukiah Dialysis LLC's NPI number?

The NPI number for Ukiah Dialysis LLC is 1235579509. It was assigned to this organization in the NPPES registry on July 1, 2013. The provider is doing business as College Park Dialysis.

Where is Ukiah Dialysis LLC located?

Ukiah Dialysis LLC is located at 17191 St Lukes Way Ste 100, The Woodlands, TX 77384. The listed phone number is (936) 273-3350.

What is Ukiah Dialysis 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 Ukiah Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2068658) is associated with this NPI, valid through November 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Ukiah Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita College Park Dialysis is a Medicare-certified dialysis facility, certified since October 6, 2014.

What quality rating does Ukiah Dialysis LLC have?

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

What insurance does Ukiah Dialysis LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 11 other insurers list Ukiah Dialysis 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 Ukiah Dialysis LLC was last updated on July 17, 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.