1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Clinic Center
  6. NPI Profile

BELTLINE HOME TRAINING
NPI 1285072447
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Grand Rapids, MI

Active since June 10, 2013CLIA 23D2061942 · Waiver
5/5
Overall Rating
330 E BELTLINE AVE NE, STE 210, GRAND RAPIDS, MI 49506(616) 285-7081(616) 285-7096 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2024, Jan 10, 2022, Mar 16, 2021 and 2 more (5 updates tracked since 2019).

About Beltline Home Training NPPES

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

BELTLINE HOME TRAINING (NPI 1285072447) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Grand Rapids, Michigan and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through July 8, 2027 and lists Samuel T Wey, Sr Director Licensure&certification, as its authorized official.

NPPES Registry Identity

NPI1285072447
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameBOWAN DIALYSIS LLC
Location Address330 E BELTLINE AVE NE, STE 210Grand Rapids, MI 49506-1267
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569
Phone(616) 285-7081
Fax(616) 285-7096
Organization SubpartNo
Authorized OfficialSamuel T WeySr Director Licensure&certification · (615) 341-6641
Enumeration DateJune 10, 2013
Last NPPES UpdateMay 14, 20245 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1285072447 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
330 E BELTLINE AVE NE, Grand Rapids, MI 49506
Open in Google Maps ↗

Other Names 1

Doing Business AsBeltline Home Training

Other Identifiers 1

Medicaid1285072447MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 23D2061942

Beltline Home Training · Grand Rapids, MI
Active · expires Jul 8, 2027
CLIA Number23D2061942
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorImad Ahmed
Laboratory Phone(615) 320-4214
Laboratory LocationBeltline Home Training330 E Beltline Ave NE Suite 210, Grand Rapids, MI 49506
CLIA data matches this NPI record on: Address 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 Beltline Home Training (CMS certification number 232693), from CMS Care Compare.

DaVita Beltline Home Training

Dialysis facility · Grand Rapids, MI
5/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number232693
ESRD NetworkNetwork 11
Hemodialysis Stations1
Medicare-Certified SinceAugust 26, 2014
Location330 E BELTLINE AVE NE STE 210Grand Rapids, MI 49506 · Kent County
Phone(616) 285-7081
Services Offered
Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEANNE MARIE GRATIOT-DEANS MD
Internal Medicine (Nephrology)
330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506
Kent County (616) 752-6235
DR. ALBERTA ANN GARBACCIO MD
Internal Medicine (Nephrology)
330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506
Kent County (616) 752-6235
DR. PHILIP GOUSHAW MD
Internal Medicine (Nephrology)
330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506
Kent County (616) 752-6235
SARAH JOY CARPENTER RD, CSR
Dietitian, Registered
330 E BELTLINE AVE NE
GRAND RAPIDS, MI 49506
Kent County (616) 752-6235
JAN MICHELE BOWERMAN-TORRES FNP-BC
Nurse Practitioner
330 E BELTLINE AVE NE
GRAND RAPIDS, MI 49506
Kent County (616) 752-6235
GINA RENEE PETERSON PA
Physician Assistant
330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506
Kent County (616) 752-6235
DR. SRIVILLIPUTTUR GOPALAN SANTHANA KRISHNAN M.D
Internal Medicine (Nephrology)
330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506
Kent County (616) 752-6235
DR. JAMES ANDRE VISSER MD
Internal Medicine (Nephrology)
330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506
Kent County (616) 752-6235

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 Bowan Dialysis LLC's NPI number?

The NPI number for Bowan Dialysis LLC is 1285072447. It was assigned to this organization in the NPPES registry on June 10, 2013. The provider is doing business as Beltline Home Training.

Where is Bowan Dialysis LLC located?

Bowan Dialysis LLC is located at 330 E Beltline Ave NE Ste 210, Grand Rapids, MI 49506. The listed phone number is (616) 285-7081.

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

Yes. A Certificate of Waiver (number 23D2061942) is associated with this NPI, valid through July 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Bowan Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Beltline Home Training is a Medicare-certified dialysis facility, certified since August 26, 2014.

What quality rating does Bowan Dialysis LLC have?

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

What insurance does Bowan Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 9 other insurers list Bowan 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 Bowan Dialysis LLC was last updated on May 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.