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RENAL CENTER OF MOUNTAIN HOME LLC
NPI 1629015979
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Mountain Home, AR

Active since June 02, 2006CLIA 04D1034072 · Waiver
3/5
Overall Rating
200 E 8TH ST STE 101, MOUNTAIN HOME, AR 72653(870) 508-6500(870) 508-6550 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2026, Jul 11, 2023, Sep 16, 2022 and 3 more (6 updates tracked since 2018).

About Renal Center Of Mountain Home Llc NPPES

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

RENAL CENTER OF MOUNTAIN HOME LLC (NPI 1629015979), doing business as Renal Center Of Mountain Home, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Mountain Home, Arkansas and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1629015979
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL CENTER OF MOUNTAIN HOME LLC
Location Address200 E 8TH ST STE 101Mountain Home, AR 72653-4402
Mailing Address5200 Virginia Way, Att: L&c DepartmentBrentwood, TN 37027-7569
Phone(870) 508-6500
Fax(870) 508-6550
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateJune 2, 2006
Last NPPES UpdateMarch 30, 20266 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1629015979 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
200 E 8TH ST STE 101, Mountain Home, AR 72653
Open in Google Maps ↗

Other Names 1

Doing Business AsRenal Center Of Mountain Home

Other Identifiers 1

Medicaid146280734AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, CareSource, Health Advantage 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 04D1034072

Renal Center Of Mountain Home · Mountain Home, AR
Active · expires Feb 7, 2027
CLIA Number04D1034072
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorDr. Grant Mathews
Laboratory Phone(870) 508-6500
Laboratory LocationRenal Center Of Mountain Home200 East 8th Suite 1, Mountain Home, AR 72653
CLIA data matches this NPI record on: 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 Renal Center of Mountain Home (CMS certification number 042567), from CMS Care Compare.

DaVita Renal Center of Mountain Home

Dialysis facility · Mountain Home, AR
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number042567
ESRD NetworkNetwork 13
Hemodialysis Stations20
Medicare-Certified SinceApril 1, 2002
Location200 EAST 8TH ST #101Mountain Home, AR 72653 · Baxter County
Phone(870) 508-6500
Services Offered
In-center hemodialysis Peritoneal dialysis

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 Renal Center Of Mountain Home LLC's NPI number?

The NPI number for Renal Center Of Mountain Home LLC is 1629015979. It was assigned to this organization in the NPPES registry on June 2, 2006. The provider is doing business as Renal Center of Mountain Home.

Where is Renal Center Of Mountain Home LLC located?

Renal Center Of Mountain Home LLC is located at 200 E 8th St Ste 101, Mountain Home, AR 72653. The listed phone number is (870) 508-6500.

What is Renal Center Of Mountain 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 Renal Center Of Mountain Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1034072) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Renal Center Of Mountain Home LLC a Medicare-certified dialysis facility?

Yes. DaVita Renal Center of Mountain Home is a Medicare-certified dialysis facility, certified since April 1, 2002.

What quality rating does Renal Center Of Mountain Home LLC have?

CMS rates DaVita Renal Center of Mountain Home 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Renal Center Of Mountain Home LLC accept?

Health plans from Arkansas Blue Cross and Blue Shield, CareSource, Health Advantage, Octave and UnitedHealthcare list Renal Center Of Mountain 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 Renal Center Of Mountain Home LLC was last updated on March 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.