Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NRA-HOLLYWOOD, SOUTH CAROLINA, LLC
NPI 1356384069
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Ravenel, SC

Q: What is Nra-Hollywood, South Carolina, LLC's NPI number?

The NPI number for Nra-Hollywood, South Carolina, LLC is 1356384069. It was assigned to this organization in the NPPES registry on June 13, 2006. The provider is doing business as Hollywood - Ravenel Dialysis Clinic.

Q: What is Nra-Hollywood, South Carolina, 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.

Q: What quality rating does Nra-Hollywood, South Carolina, LLC have?

CMS rates FMC Hollywood Ravenel Dialysis Clinc 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since June 13, 2006CLIA 42D1052012 · Waiver

2/5

Overall Rating

5953 JACOBS POINT BLVD, RAVENEL, SC 29470(843) 571-4025(843) 571-4015 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 31, 2026, Oct 17, 2023, Aug 14, 2021 (3 updates tracked since 2021).

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About Nra-hollywood, South Carolina, Llc NPPES

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

NRA-HOLLYWOOD, SOUTH CAROLINA, LLC (NPI 1356384069), doing business as Hollywood - Ravenel Dialysis Clinic, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Ravenel, South Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through March 14, 2028 and lists Denise Wright, Vice President, as its authorized official.

NPPES Registry Identity

NPI1356384069

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameNRA-HOLLYWOOD, SOUTH CAROLINA, LLC

Location Address5953 JACOBS POINT BLVDRavenel, SC 29470-5643

Mailing Address5953 Jacobs Point BlvdRavenel, SC 29470-5643 · (843) 571-4025 · Fax (843) 571-4015

Phone(843) 571-4025

Fax(843) 571-4015

Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.

Authorized OfficialDenise WrightVice President · (781) 676-5200

Enumeration DateJune 13, 2006

Last NPPES UpdateAugust 31, 20263 updates tracked since enumeration

NPPES CertifiedAugust 31, 2026

✔ NPI 1356384069 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

License✔ Licensed in SC · ERD-157

5953 JACOBS POINT BLVD, Ravenel, SC 29470

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Other Names 1

Doing Business AsHollywood - Ravenel Dialysis Clinic

Other Identifiers 2

MedicaidERD-157SC

Other42D1052012SC · Clia Certificate Of Waive

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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 42D1052012

Nra-Hollywood, South Carolina, LLC D/B/A Hollywood-Ravenel Dialysis Clinic · Ravenel, SC

Active · expires Mar 14, 2028

CLIA Number42D1052012

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateMarch 15, 2026

Certificate Expiration DateMarch 14, 2028

Laboratory DirectorOsemwegie Emovon

Laboratory Phone(843) 571-4599

Laboratory LocationNra-Hollywood, South Carolina, LLC D/B/A Hollywood-Ravenel Dialysis Clinic5953 Jacobs Point Blvd, Ravenel, SC 29470

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 FMC Hollywood Ravenel Dialysis Clinc (CMS certification number 422606), from CMS Care Compare.

FMC Hollywood Ravenel Dialysis Clinc

Dialysis facility · Ravenel, SC

2/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainFresenius Medical Care

CMS Certification Number422606

ESRD NetworkNetwork 6

Hemodialysis Stations16

Medicare-Certified SinceMay 9, 2006

Location5953 JACOBS POINT BLVDRavenel, SC 29470 · Charleston County

Phone(843) 571-4025

Services Offered

In-center hemodialysis Peritoneal dialysis Home hemodialysis training

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 Nra-Hollywood, South Carolina, LLC's NPI number?

The NPI number for Nra-Hollywood, South Carolina, LLC is 1356384069. It was assigned to this organization in the NPPES registry on June 13, 2006. The provider is doing business as Hollywood - Ravenel Dialysis Clinic.

Where is Nra-Hollywood, South Carolina, LLC located?

Nra-Hollywood, South Carolina, LLC is located at 5953 Jacobs Point Blvd, Ravenel, SC 29470. The listed phone number is (843) 571-4025.

What is Nra-Hollywood, South Carolina, 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 Nra-Hollywood, South Carolina, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1052012) is associated with this NPI, valid through March 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Nra-Hollywood, South Carolina, LLC a Medicare-certified dialysis facility?

Yes. FMC Hollywood Ravenel Dialysis Clinc is a Medicare-certified dialysis facility, certified since May 9, 2006.

What quality rating does Nra-Hollywood, South Carolina, LLC have?

CMS rates FMC Hollywood Ravenel Dialysis Clinc 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Nra-Hollywood, South Carolina, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and UnitedHealthcare list Nra-Hollywood, South Carolina, 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 Nra-Hollywood, South Carolina, LLC was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.