CARE DIALYSIS CENTER

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

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About Care Dialysis Center NPPES

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

CARE DIALYSIS CENTER (NPI 1649855297) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Glendale, California and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through December 29, 2027 and lists Andrey Tarasov, Member/manager, as its authorized official.

NPPES Registry Identity

NPI1649855297

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameAVY, LLC

Location Address1510 S CENTRAL AVE STE 140Glendale, CA 91204-3857

Mailing Address1510 S Central Ave Ste 140Glendale, CA 91204-3857 · (310) 467-5197

Phone(310) 467-5197

Organization SubpartNo

Authorized OfficialAndrey TarasovMember/manager · (310) 467-5197

Enumeration DateMarch 16, 2021

Last NPPES UpdateApril 17, 20212 updates tracked since enumeration

NPPES CertifiedApril 17, 2021

✔ NPI 1649855297 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

1510 S CENTRAL AVE STE 140, Glendale, CA 91204

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Other Names 1

Doing Business AsCare Dialysis Center

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 05D2246807

Avy, LLC · Glendale, CA

Active · expires Dec 29, 2027

CLIA Number05D2246807

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateDecember 30, 2025

Certificate Expiration DateDecember 29, 2027

Laboratory DirectorDavid Sherman

Laboratory Phone(310) 467-5197

Laboratory LocationAvy, LLC1510 S Central Avenue, Suite #140, Glendale, CA 91204

CLIA data matches this NPI record on: 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 Care Dialysis Center (CMS certification number 752549), from CMS Care Compare.

Dialysis facility · Glendale, CA

2/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

CMS Certification Number752549

ESRD NetworkNetwork 18

Hemodialysis Stations11

Medicare-Certified SinceApril 29, 2022

Location1510 S CENTRAL AVE STE 140Glendale, CA 91204 · Los Angeles County

Phone(818) 453-6111

Services Offered

In-center hemodialysis