TREASURE COAST DIALYSIS
NPI 1295469252
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Port St Lucie, FL

Active since July 14, 2022CLIA 10D1079981 · Waiver
3/5
Overall Rating
1407 SE GOLDTREE DR STE A, PORT ST LUCIE, FL 34952(772) 335-8672(772) 335-4489 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 16, 2024, Dec 28, 2022, Jul 14, 2022 (3 updates tracked since 2022).

About Treasure Coast Dialysis NPPES

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

TREASURE COAST DIALYSIS (NPI 1295469252) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Port St Lucie, Florida and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through February 10, 2028 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1295469252
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCRAVILLE DIALYSIS, LLC
Location Address1407 SE GOLDTREE DR STE APort St Lucie, FL 34952-7562
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Fax(772) 335-4489
Organization SubpartYesParent: Davita Inc
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateJuly 14, 2022
Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
NPI 1295469252 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
1407 SE GOLDTREE DR STE A, Port St Lucie, FL 34952

Other Names 1

Doing Business AsTreasure Coast Dialysis

Accepted 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 10D1079981

Treasure Coast Dialysis · Port Saint Lucie, FL
Active · expires Feb 10, 2028
CLIA Number10D1079981
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 11, 2026
Certificate Expiration DateFebruary 10, 2028
Laboratory DirectorMohammad Izhar
Laboratory Phone(772) 335-8672
Laboratory LocationTreasure Coast Dialysis1407 Southeast Goldtree Drive Suite A, Port Saint Lucie, FL 34952
CLIA data matches this NPI record on: 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 Treasure Coast Dialysis (CMS certification number 682743), from CMS Care Compare.

DaVita Treasure Coast Dialysis

Dialysis facility · Port Saint Lucie, FL
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number682743
ESRD NetworkNetwork 7
Hemodialysis Stations20
Medicare-Certified SinceSeptember 28, 2022
Location1407 SE Goldtree Dr Ste APort Saint Lucie, FL 34952 · Saint Lucie County
Services Offered
In-center hemodialysis Peritoneal dialysis

Other Providers at the Same Location NPPES

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1407 SE GOLDTREE DR STE A
PORT ST LUCIE, FL 34952

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 Craville Dialysis, LLC's NPI number?

The NPI number for Craville Dialysis, LLC is 1295469252. It was assigned to this organization in the NPPES registry on July 14, 2022. The provider is doing business as Treasure Coast Dialysis.

Where is Craville Dialysis, LLC located?

Craville Dialysis, LLC is located at 1407 SE Goldtree Dr Ste A, Port St Lucie, FL 34952. The listed phone number is (772) 335-8672.

What is Craville 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 Craville Dialysis, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1079981) is associated with this NPI, valid through February 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Craville Dialysis, LLC a Medicare-certified dialysis facility?

Yes. DaVita Treasure Coast Dialysis is a Medicare-certified dialysis facility, certified since September 28, 2022.

What quality rating does Craville Dialysis, LLC have?

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

What insurance does Craville Dialysis, LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Insurance and 7 other insurers list Craville 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 Craville Dialysis, LLC was last updated on September 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.