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CAPES DIALYSIS LLC
NPI 1720406739
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tacoma, WA

Active since April 07, 2014CLIA 04D0955996 · Waiver
1/5
Overall Rating
1423 PACIFIC AVE, TACOMA, WA 98402(253) 382-1752 Get Directions Write a Review

NPPES record last updated: April 7, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Capes Dialysis Llc NPPES

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

CAPES DIALYSIS LLC (NPI 1720406739) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tacoma, Washington and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Kent Thiry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720406739
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameJACKSON COUNTY DIALYSIS
Location Address1423 PACIFIC AVETacoma, WA 98402-4203
Mailing Address1912 Mclain St, Pratt SquareNewport, AR 72112-3659 · (870) 523-2607 · Fax (870) 523-2824
Phone(253) 382-1752
Organization SubpartNo
Authorized OfficialKent ThiryCeo · (303) 876-6000
Enumeration DateApril 7, 2014
✔ NPI 1720406739 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
Licenses✔ Licensed in AR · 04D0955996✔ Licensed in AR · 1871898965
1423 PACIFIC AVE, Tacoma, WA 98402
Open in Google Maps ↗

Other Names 1

Other NameCapes Dialysis Llc

Other Identifiers 1

Medicaid190060134AR

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 04D0955996

Jackson County Dialysis · Newport, AR
Active · expires Jan 14, 2027
CLIA Number04D0955996
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorDr. Gregory Mock
Laboratory Phone(870) 523-2607
Laboratory LocationJackson County Dialysis1912 Mclain St, Newport, AR 72112
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 Jackson County Dialysis (CMS certification number 042554), from CMS Care Compare.

DaVita Jackson County Dialysis

Dialysis facility · Newport, WA
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number042554
ESRD NetworkNetwork 13
Hemodialysis Stations9
Medicare-Certified SinceFebruary 5, 1999
Location1912 MCCLAIN ST PRATT SQUARENewport, WA 72112 · Jackson County
Phone(870) 523-2607
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 20

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

CAPES DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
BRADLEY COUNTY DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
MENA DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
CAPES DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
MALVERN DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
NORTH LITTLE ROCK DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
OSCEOLA DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
CAPES DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752

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 Jackson County Dialysis's NPI number?

The NPI number for Jackson County Dialysis is 1720406739. It was assigned to this organization in the NPPES registry on April 7, 2014. The provider is also known as Capes Dialysis LLC.

Where is Jackson County Dialysis located?

Jackson County Dialysis is located at 1423 Pacific Ave, Tacoma, WA 98402. The listed phone number is (253) 382-1752.

What is Jackson County Dialysis'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 Jackson County Dialysis hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0955996) is associated with this NPI, valid through January 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Jackson County Dialysis a Medicare-certified dialysis facility?

Yes. DaVita Jackson County Dialysis is a Medicare-certified dialysis facility, certified since February 5, 1999.

What quality rating does Jackson County Dialysis have?

CMS rates DaVita Jackson County 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 Jackson County Dialysis was last updated on April 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.