FRESENIUS KIDNEY CARE VICKSBURG HOME
NPI 1497330815
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Vicksburg, MS

Q: What is Fresenius Medical Care Vicksburg Home, 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 Fresenius Medical Care Vicksburg Home, LLC have?

CMS rates Fresenius Medical Care Vicksburg Home, LLC 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since March 17, 2021CLIA 25D2226035 · Waiver

3/5

Overall Rating

1003 MISSION PARK DR, VICKSBURG, MS 39180(601) 299-5605(601) 299-5609 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 23, 2023, Nov 16, 2022, Sep 19, 2022 and 2 more (5 updates tracked since 2021).

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About Fresenius Kidney Care Vicksburg Home NPPES

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

FRESENIUS KIDNEY CARE VICKSBURG HOME (NPI 1497330815) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Vicksburg, Mississippi and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through May 25, 2027 and lists Barry Blanton, Vp, as its authorized official.

NPPES Registry Identity

NPI1497330815

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameFRESENIUS MEDICAL CARE VICKSBURG HOME, LLC

Location Address1003 MISSION PARK DRVicksburg, MS 39180-3763

Mailing Address1003 Mission Park DrVicksburg, MS 39180-3763 · (601) 299-5605 · Fax (601) 299-5609

Phone(601) 299-5605

Fax(601) 299-5609

Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.

Authorized OfficialBarry BlantonVp · (781) 699-9000

Enumeration DateMarch 17, 2021

Last NPPES UpdateOctober 23, 20235 updates tracked since enumeration

NPPES CertifiedOctober 23, 2023

✔ NPI 1497330815 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

1003 MISSION PARK DR, Vicksburg, MS 39180

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Other Names 1

Doing Business AsFresenius Kidney Care Vicksburg Home

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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 25D2226035

Fresenius Medical Care Vicksburg Home LLC · Vicksburg, MS

Active · expires May 25, 2027

CLIA Number25D2226035

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateMay 26, 2025

Certificate Expiration DateMay 25, 2027

Laboratory DirectorDr. Dawinder S. Sohal

Laboratory Phone(601) 299-5605

Laboratory LocationFresenius Medical Care Vicksburg Home LLC1003 Mission Park Dr, Vicksburg, MS 39180

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 Fresenius Medical Care Vicksburg Home, LLC (CMS certification number 252599), from CMS Care Compare.

Fresenius Medical Care Vicksburg Home, LLC

Dialysis facility · Vicksburg, MS

3/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainFresenius Medical Care

CMS Certification Number252599

ESRD NetworkNetwork 8

Hemodialysis Stations1

Medicare-Certified SinceSeptember 22, 2021

Location1003 MISSION PARK DRVicksburg, MS 39180 · Warren County

Phone(601) 299-5605

Services Offered

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 Fresenius Medical Care Vicksburg Home, LLC's NPI number?

The NPI number for Fresenius Medical Care Vicksburg Home, LLC is 1497330815. It was assigned to this organization in the NPPES registry on March 17, 2021. The provider is doing business as Fresenius Kidney Care Vicksburg Home.

Where is Fresenius Medical Care Vicksburg Home, LLC located?

Fresenius Medical Care Vicksburg Home, LLC is located at 1003 Mission Park Dr, Vicksburg, MS 39180. The listed phone number is (601) 299-5605.

What is Fresenius Medical Care Vicksburg Home, 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 Fresenius Medical Care Vicksburg Home, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2226035) is associated with this NPI, valid through May 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Fresenius Medical Care Vicksburg Home, LLC a Medicare-certified dialysis facility?

Yes. Fresenius Medical Care Vicksburg Home, LLC is a Medicare-certified dialysis facility, certified since September 22, 2021.

What quality rating does Fresenius Medical Care Vicksburg Home, LLC have?

CMS rates Fresenius Medical Care Vicksburg Home, LLC 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Fresenius Medical Care Vicksburg Home, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 7 other insurers list Fresenius Medical Care Vicksburg Home, 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 Fresenius Medical Care Vicksburg Home, LLC was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.