DVA RENAL HEALTHCARE INC
NPI 1376510487
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lakeland, FL

Q: What is DVA Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1376510487. It was assigned to this organization in the NPPES registry on March 7, 2006. The provider is doing business as Lakeland South Dialysis.

Q: What is DVA Renal Healthcare Inc'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 DVA Renal Healthcare Inc have?

CMS rates DaVita Lakeland South Dialysis 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since March 07, 2006

1/5

Overall Rating

4774 S FLORIDA AVE, LAKELAND, FL 33813(863) 646-0462(863) 647-0802 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2026, Nov 17, 2023, Aug 28, 2023 and 3 more (6 updates tracked since 2016).

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About Dva Renal Healthcare Inc NPPES

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

DVA RENAL HEALTHCARE INC (NPI 1376510487), doing business as Lakeland South Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Lakeland, Florida and active in the NPI registry since March 2006. The organization lists Samuel Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1376510487

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameDVA RENAL HEALTHCARE INC

Location Address4774 S FLORIDA AVELakeland, FL 33813-2181

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569

Phone(863) 646-0462

Fax(863) 647-0802

Organization SubpartNo

Authorized OfficialSamuel WeyVp, Licensure & Certification · (615) 341-6641

Enumeration DateMarch 7, 2006

Last NPPES UpdateMarch 12, 20266 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1376510487 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

4774 S FLORIDA AVE, Lakeland, FL 33813

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Other Names 1

Doing Business AsLakeland South Dialysis

Other Identifiers 1

Medicaid890032900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Lakeland South Dialysis (CMS certification number 102764), from CMS Care Compare.

DaVita Lakeland South Dialysis

Dialysis facility · Lakeland, FL

1/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number102764

ESRD NetworkNetwork 7

Hemodialysis Stations19

Medicare-Certified SinceDecember 10, 1999

Location4774 South Florida AvenueLakeland, FL 33813 · Polk County

Phone(863) 646-0462

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 DVA Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1376510487. It was assigned to this organization in the NPPES registry on March 7, 2006. The provider is doing business as Lakeland South Dialysis.

Where is DVA Renal Healthcare Inc located?

DVA Renal Healthcare Inc is located at 4774 S Florida Ave, Lakeland, FL 33813. The listed phone number is (863) 646-0462.

What is DVA Renal Healthcare Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Is DVA Renal Healthcare Inc a Medicare-certified dialysis facility?

Yes. DaVita Lakeland South Dialysis is a Medicare-certified dialysis facility, certified since December 10, 1999.

What quality rating does DVA Renal Healthcare Inc have?

CMS rates DaVita Lakeland South Dialysis 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does DVA Renal Healthcare Inc accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Health First Commercial Plans, Inc. and 9 other insurers list DVA Renal Healthcare Inc 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 DVA Renal Healthcare Inc was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.