RENVIVA DIALYSIS CENTER OF EASTERN PANHANDLE, LLC
NPI 1295510071
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Berkeley Springs, WV

Active since August 29, 2023CLIA 51D2299905 · Waiver
91 SUGAR HOLLOW RD STE E, BERKELEY SPRINGS, WV 25411(304) 944-7004 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renviva Dialysis Center Of Eastern Panhandle, Llc NPPES

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

RENVIVA DIALYSIS CENTER OF EASTERN PANHANDLE, LLC (NPI 1295510071) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Berkeley Springs, West Virginia and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Akinyinka Awosika, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1295510071
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENVIVA DIALYSIS CENTER OF EASTERN PANHANDLE, LLC
Location Address91 SUGAR HOLLOW RD STE EBerkeley Springs, WV 25411-7243
Mailing Address91 Sugar Hollow Rd Ste EBerkeley Springs, WV 25411-7243
Organization SubpartNo
Authorized OfficialAkinyinka AwosikaMember Manager · (321) 710-0352
Enumeration DateAugust 29, 2023
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
NPI 1295510071 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
91 SUGAR HOLLOW RD STE E, Berkeley Springs, WV 25411

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 51D2299905

Renviva Dialysis Center Of Eastern Panhandle LLC · Berkeley Springs, WV
Active · expires Feb 28, 2028
CLIA Number51D2299905
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorBabak Barmar
Laboratory Phone(229) 421-6452
Laboratory LocationRenviva Dialysis Center Of Eastern Panhandle LLC91 Sugar Hollow Rd Suite E, Berkeley Springs, WV 25411
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Renviva Dialysis Center Of Eastern Panhandle, LLC's NPI number?

The NPI number for Renviva Dialysis Center Of Eastern Panhandle, LLC is 1295510071. It was assigned to this organization in the NPPES registry on August 29, 2023.

Where is Renviva Dialysis Center Of Eastern Panhandle, LLC located?

Renviva Dialysis Center Of Eastern Panhandle, LLC is located at 91 Sugar Hollow Rd Ste E, Berkeley Springs, WV 25411. The listed phone number is (304) 944-7004.

What is Renviva Dialysis Center Of Eastern Panhandle, 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 Renviva Dialysis Center Of Eastern Panhandle, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2299905) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Renviva Dialysis Center Of Eastern Panhandle, LLC accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Renviva Dialysis Center Of Eastern Panhandle, 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 Renviva Dialysis Center Of Eastern Panhandle, LLC was last updated on May 28, 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.