PARTRIDGE CREEK DIALYSIS
NPI 1306239140
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Chesterfield, MI

Active since March 17, 2015CLIA 23D2099951 · Waiver
2/5
Overall Rating
46360 GRATIOT AVE, CHESTERFIELD, MI 48051(586) 949-5417(586) 949-5691 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2022, Feb 12, 2021, Aug 23, 2019 (3 updates tracked since 2019).

About Partridge Creek Dialysis NPPES

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

PARTRIDGE CREEK DIALYSIS (NPI 1306239140) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Chesterfield, Michigan and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1306239140
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSHOSHONE DIALYSIS, LLC
Location Address46360 GRATIOT AVEChesterfield, MI 48051-2800
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569 · (615) 320-4514 · Fax (866) 594-9961
Fax(586) 949-5691
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateMarch 17, 2015
Last NPPES UpdateDecember 21, 20233 updates tracked since enumeration
NPPES CertifiedDecember 21, 2023
NPI 1306239140 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
46360 GRATIOT AVE, Chesterfield, MI 48051

Other Names 1

Doing Business AsPartridge Creek Dialysis

Other Identifiers 1

Medicaid1306239140MI

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 23D2099951

Partridge Creek Dialysis · Chesterfield, MI
Active · expires Aug 4, 2027
CLIA Number23D2099951
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorChristopher R. Provenzano
Laboratory Phone(586) 949-5417
Laboratory LocationPartridge Creek Dialysis46360 Gratiot Avenue, Chesterfield, MI 48051
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 Partridge Creek in center (CMS certification number 232713), from CMS Care Compare.

DaVita Partridge Creek in center

Dialysis facility · Chesterfield, MI
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number232713
ESRD NetworkNetwork 11
Hemodialysis Stations24
Medicare-Certified SinceAugust 31, 2016
Location46360 GRATIOT AVEChesterfield, MI 48051 · Macomb County
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES 20

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
46360 GRATIOT AVE
CHESTERFIELD, MI 48051
Community/Behavioral Health
46360 GRATIOT AVE
CHESTERFIELD, MI 48051
Community/Behavioral Health
46360 GRATIOT AVE
CHESTERFIELD, MI 48051
Social Worker (Clinical)
46360 GRATIOT AVE
CHESTERFIELD, MI 48051
Community/Behavioral Health
46360 GRATIOT AVE
CHESTERFIELD, MI 48051
Community/Behavioral Health
46360 GRATIOT AVE
CHESTERFIELD, MI 48051
Psychologist
46360 GRATIOT AVE
CHESTERFIELD, MI 48051
Community/Behavioral Health
46360 GRATIOT AVE
CHESTERFIELD, MI 48051

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 Shoshone Dialysis, LLC's NPI number?

The NPI number for Shoshone Dialysis, LLC is 1306239140. It was assigned to this organization in the NPPES registry on March 17, 2015. The provider is doing business as Partridge Creek Dialysis.

Where is Shoshone Dialysis, LLC located?

Shoshone Dialysis, LLC is located at 46360 Gratiot Ave, Chesterfield, MI 48051. The listed phone number is (586) 949-5417.

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

Yes. A Certificate of Waiver (number 23D2099951) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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

Yes. DaVita Partridge Creek in center is a Medicare-certified dialysis facility, certified since August 31, 2016.

What quality rating does Shoshone Dialysis, LLC have?

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

What insurance does Shoshone 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 Shoshone 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 Shoshone Dialysis, LLC was last updated on December 21, 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.