1. Home
  2. Directory
  3. Minnesota
  4. St Louis Park
  5. Clinic Center
  6. NPI Profile

ST LOUIS PARK DIALYSIS CENTER
NPI 1447214812
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in St Louis Park, MN

Active since April 13, 2006CLIA 24D1004078 · Waiver
2/5
Overall Rating
3505 LOUISIANA AVE S, ST LOUIS PARK, MN 55426(952) 285-1400(952) 285-1406 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 8, 2023, Feb 7, 2022, May 14, 2020 and 1 more (4 updates tracked since 2019).

About St Louis Park Dialysis Center NPPES

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

ST LOUIS PARK DIALYSIS CENTER (NPI 1447214812) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in St Louis Park, Minnesota and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through July 19, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1447214812
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL TREATMENT CENTERS-ILLINOIS INC.
Location Address3505 LOUISIANA AVE SSt Louis Park, MN 55426-4121
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(952) 285-1400
Fax(952) 285-1406
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateApril 13, 2006
Last NPPES UpdateMay 23, 20244 updates tracked since enumeration
NPPES CertifiedMay 23, 2024
✔ NPI 1447214812 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
3505 LOUISIANA AVE S, St Louis Park, MN 55426
Open in Google Maps ↗

Other Names 1

Doing Business AsSt Louis Park Dialysis Center

Other Identifiers 1

Medicaid564120900MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, 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 24D1004078

St Louis Park Dialysis Center · Saint Louis Park, MN
Active · expires Jul 19, 2027
CLIA Number24D1004078
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorRichard Moore MD
Laboratory Phone(952) 285-1400
Laboratory LocationSt Louis Park Dialysis Center3505 Louisiana Avenue South, Saint Louis Park, MN 55426
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating
The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.		 - 2 out of 5 stars - A Below Average
Dialysis Facility TypeProfit
Is it part of a chain?Yes
Corporate NameDaVita
Shifts Starting After 5PM Shifts Starting After 5PM
If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.		No
In-Center Hemodialysis In-Center Hemodialysis
Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.		Yes
Number of Hemodialysis Stations Number of Hemodialysis Stations
The number of hemodialysis stations in the dialysis facility.		26
Peritoneal Dialysis Peritoneal Dialysis
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.		Yes
Home Hemodialysis Training Home Hemodialysis Training
If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.		No
Certification or Recertification Date09-01-2002

Frequently Asked Questions

What is RENAL TREATMENT CENTERS-ILLINOIS INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1447214812, enumerated as an "organization" on April 13, 2006.

Where is the provider located?

The provider is located at 3505 LOUISIANA AVE S ST LOUIS PARK, MN 55426 and the phone number is (952) 285-1400.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

What insurance does RENAL TREATMENT CENTERS-ILLINOIS INC. accept?

The provider might be accepting Accepts: HealthPartners, Medica, UnitedHealthcare, Medicare. Please consult your insurance carrier or call the provider to verify.