1. Home
  2. Directory
  3. Florida
  4. Cocoa
  5. Clinic Center
  6. NPI Profile

HAVERHILLS DIALYSIS, LLC
NPI 1497345763
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Cocoa, FL

Active since January 21, 2021
2300 STATE ROAD 524 STE 106, COCOA, FL 32926(321) 482-5609(321) 482-5868 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Haverhills Dialysis, Llc NPPES

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

HAVERHILLS DIALYSIS, LLC (NPI 1497345763), doing business as Cocoa Beach Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Cocoa, Florida and active in the NPI registry since January 2021. The organization lists John Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1497345763
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameHAVERHILLS DIALYSIS, LLC
Location Address2300 STATE ROAD 524 STE 106Cocoa, FL 32926-5894
Mailing Address5200 Virginia WayBrentwood, TN 37027-7569 · (615) 320-4283 · Fax (800) 320-3933
Phone(321) 482-5609
Fax(321) 482-5868
Organization SubpartYesParent: Davita Inc
Authorized OfficialJohn WinstelChief Accounting Officer · (303) 405-5117
Enumeration DateJanuary 21, 2021
NPPES CertifiedJanuary 21, 2021
✔ NPI 1497345763 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
2300 STATE ROAD 524 STE 106, Cocoa, FL 32926
Open in Google Maps ↗

Other Names 1

Doing Business AsCocoa Beach Dialysis

Other Providers at the Same Location NPPES 2

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

DEREK MITTLEIDER M.D.
Radiology (Vascular & Interventional Radiology)
2300 STATE ROAD 524 STE 106
COCOA, FL 32926
Brevard County (321) 321-3001
VASCULAR AND EMBOLIZATION SPECIALISTS PLLC
Radiology (Vascular & Interventional Radiology)
2300 STATE ROAD 524 STE 106
COCOA, FL 32926
Brevard County (321) 321-3001

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 Haverhills Dialysis, LLC's NPI number?

The NPI number for Haverhills Dialysis, LLC is 1497345763. It was assigned to this organization in the NPPES registry on January 21, 2021. The provider is doing business as Cocoa Beach Dialysis.

Where is Haverhills Dialysis, LLC located?

Haverhills Dialysis, LLC is located at 2300 State Road 524 Ste 106, Cocoa, FL 32926. The listed phone number is (321) 482-5609.

What is Haverhills 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.

When was this NPI record last updated?

The NPPES record for Haverhills Dialysis, LLC was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.