FORREST CITY DIALYSIS
NPI 1457599722
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Forrest City, AR

Q: What is Historic Dialysis LLC's NPI number?

The NPI number for Historic Dialysis LLC is 1457599722. It was assigned to this organization in the NPPES registry on January 26, 2009. The provider is doing business as Forrest City Dialysis.

Q: What is Historic 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.

Q: What quality rating does Historic Dialysis LLC have?

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

Active since January 26, 2009CLIA 04D1096838 · Waiver

1/5

Overall Rating

1501 N WASHINGTON ST, FORREST CITY, AR 72335(870) 494-4022(870) 494-4769 Get Directions Write a Review

NPPES record last updated: October 29, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Forrest City Dialysis NPPES

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

FORREST CITY DIALYSIS (NPI 1457599722) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Forrest City, Arkansas and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through March 11, 2027 and lists James K Hilger, Vice President, as its authorized official.

NPPES Registry Identity

NPI1457599722

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameHISTORIC DIALYSIS LLC

Location Address1501 N WASHINGTON STForrest City, AR 72335-2152

Mailing Address5200 Virginia Way, L&c Dept 4th FloorBrentwood, TN 37027-7569 · (615) 320-4521 · Fax (866) 594-2894

Phone(870) 494-4022

Fax(870) 494-4769

Organization SubpartNo

Authorized OfficialJames K HilgerVice President · (253) 382-1919

Enumeration DateJanuary 26, 2009

Last NPPES UpdateOctober 29, 2009

✔ NPI 1457599722 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

1501 N WASHINGTON ST, Forrest City, AR 72335

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Other Names 1

Doing Business AsForrest City Dialysis

Other Identifiers 1

Medicare OSCAR/certification042585

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 04D1096838

Forrest City Dialysis · Forrest City, AR

Active · expires Mar 11, 2027

CLIA Number04D1096838

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateMarch 12, 2025

Certificate Expiration DateMarch 11, 2027

Laboratory DirectorAsif Kazmi

Laboratory Phone(870) 494-4022

Laboratory LocationForrest City Dialysis1501 North Washington Street, Forrest City, AR 72335

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 Forrest City Dialysis (CMS certification number 042585), from CMS Care Compare.

DaVita Forrest City Dialysis

Dialysis facility · Forrest City, AR

1/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number042585

ESRD NetworkNetwork 13

Hemodialysis Stations12

Medicare-Certified SinceSeptember 28, 2009

Location1501 N WASHINGTON STForrest City, AR 72335 · Saint Francis County

Phone(870) 494-4022

Services Offered

In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES

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

RENAL TREATMENT CENTERS-SOUTHEAST, LP.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

1501 N WASHINGTON ST
FORREST CITY, AR 72335

St. Francis County (870) 494-4022

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 Historic Dialysis LLC's NPI number?

The NPI number for Historic Dialysis LLC is 1457599722. It was assigned to this organization in the NPPES registry on January 26, 2009. The provider is doing business as Forrest City Dialysis.

Where is Historic Dialysis LLC located?

Historic Dialysis LLC is located at 1501 N Washington St, Forrest City, AR 72335. The listed phone number is (870) 494-4022.

What is Historic 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 Historic Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1096838) is associated with this NPI, valid through March 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Historic Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Forrest City Dialysis is a Medicare-certified dialysis facility, certified since September 28, 2009.

What quality rating does Historic Dialysis LLC have?

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

When was this NPI record last updated?

The NPPES record for Historic Dialysis LLC was last updated on October 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.