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LIVINGSTON VILLAGE DIALYSIS
NPI 1306323050
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fort Washington, MD

Active since July 25, 2018CLIA 21D2154413 · Waiver
3/5
Overall Rating
11700 LIVINGSTON RD, FORT WASHINGTON, MD 20744(301) 292-1804(301) 292-9828 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2024, Jun 12, 2024, Mar 28, 2023 and 2 more (5 updates tracked since 2018).

About Livingston Village Dialysis NPPES

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

LIVINGSTON VILLAGE DIALYSIS (NPI 1306323050) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fort Washington, Maryland and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through September 11, 2026 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1306323050
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameWYOTA DIALYSIS, LLC
Location Address11700 LIVINGSTON RDFort Washington, MD 20744-5150
Mailing Address5200 Virginia Way, Att: L&c DepartmentBrentwood, TN 37027-7569
Phone(301) 292-1804
Fax(301) 292-9828
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateJuly 25, 2018
Last NPPES UpdateSeptember 12, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1306323050 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
11700 LIVINGSTON RD, Fort Washington, MD 20744
Open in Google Maps ↗

Other Names 1

Doing Business AsLivingston Village Dialysis

Other Identifiers 1

Medicaid502430700MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 21D2154413

Livingston Village Dialysis · Fort Washington, MD
Active · expires Sep 11, 2026
CLIA Number21D2154413
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorEric Antwi-Donker MD
Laboratory Phone(301) 292-1804
Laboratory LocationLivingston Village Dialysis11700 Livingston Road, Fort Washington, MD 20744
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 Livingston Village Dialysis (CMS certification number 212737), from CMS Care Compare.

DaVita Livingston Village Dialysis

Dialysis facility · Fort Washington, MD
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number212737
ESRD NetworkNetwork 5
Hemodialysis Stations19
Medicare-Certified SinceOctober 21, 2019
Location11700 Livingston RdFort Washington, MD 20744 · Prince Georges County
Phone(301) 292-1804
Services Offered
In-center hemodialysis

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 Wyota Dialysis, LLC's NPI number?

The NPI number for Wyota Dialysis, LLC is 1306323050. It was assigned to this organization in the NPPES registry on July 25, 2018. The provider is doing business as Livingston Village Dialysis.

Where is Wyota Dialysis, LLC located?

Wyota Dialysis, LLC is located at 11700 Livingston Rd, Fort Washington, MD 20744. The listed phone number is (301) 292-1804.

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

Yes. A Certificate of Waiver (number 21D2154413) is associated with this NPI, valid through September 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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

Yes. DaVita Livingston Village Dialysis is a Medicare-certified dialysis facility, certified since October 21, 2019.

What quality rating does Wyota Dialysis, LLC have?

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

What insurance does Wyota Dialysis, LLC accept?

Health plans from UnitedHealthcare list Wyota 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 Wyota Dialysis, LLC was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.