FRESENIUS KIDNEY CARE LA GRANGE HOME
NPI 1730522343
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lagrange, GA

Active since April 12, 2013CLIA 11D2060347 · Waiver
1300 LAFAYETTE PKWY, SUITE D, LAGRANGE, GA 30241(706) 884-3765(706) 884-5304 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, Mar 10, 2022, Mar 1, 2022 and 2 more (5 updates tracked since 2020).

About Fresenius Kidney Care La Grange Home NPPES

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

FRESENIUS KIDNEY CARE LA GRANGE HOME (NPI 1730522343) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Lagrange, Georgia and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through June 10, 2027 and lists Barry L. Blanton, Vp, as its authorized official.

NPPES Registry Identity

NPI1730522343
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameINNOVATIVE DIALYSIS CENTERS OF LA GRANGE, LLC
Location Address1300 LAFAYETTE PKWY, SUITE DLagrange, GA 30241-2612
Mailing Address1300 Lafayette Pkwy Ste DLagrange, GA 30241-2610 · Fax (781) 419-0182
Fax(706) 884-5304
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialBarry L. BlantonVp · (781) 699-9000
Enumeration DateApril 12, 2013
Last NPPES UpdateOctober 23, 20235 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
NPI 1730522343 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
1300 LAFAYETTE PKWY, Lagrange, GA 30241

Other Names 1

Doing Business AsFresenius Kidney Care La Grange Home

Other Identifiers 1

Medicaid003146669AGA

Accepted 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 11D2060347

Innovative Dialysis Centers Of La Grange, LLC D/B/A Fresenius Kidney Care La Grange Home · Lagrange, GA
Active · expires Jun 10, 2027
CLIA Number11D2060347
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJune 11, 2025
Certificate Expiration DateJune 10, 2027
Laboratory DirectorRajeev Chauhan
Laboratory Phone(706) 833-3443
Laboratory LocationInnovative Dialysis Centers Of La Grange, LLC D/B/A Fresenius Kidney Care La Grange Home1300 Lafayette Parkway, Suite D, Lagrange, GA 30241
CLIA data matches this NPI record on: Address Name
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 Kidney Care La Grange Home (CMS certification number 112871), from CMS Care Compare.

Fresenius Kidney Care La Grange Home

Dialysis facility · Lagrange, GA
OwnershipProfit
ChainFresenius Medical Care
CMS Certification Number112871
ESRD NetworkNetwork 6
Hemodialysis Stations11
Medicare-Certified SinceAugust 7, 2013
Location1300 LAFAYETTE PKWY SUITE DLagrange, GA 30241 · Troup County
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES 3

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

Dentist
1300 LAFAYETTE PKWY, SUITE E
LAGRANGE, GA 30241
Dentist
1300 LAFAYETTE PKWY
LAGRANGE, GA 30241
Internal Medicine (Nephrology)
1300 LAFAYETTE PKWY, BUILDING D
LAGRANGE, GA 30241

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 Innovative Dialysis Centers Of La Grange, LLC's NPI number?

The NPI number for Innovative Dialysis Centers Of La Grange, LLC is 1730522343. It was assigned to this organization in the NPPES registry on April 12, 2013. The provider is doing business as Fresenius Kidney Care La Grange Home.

Where is Innovative Dialysis Centers Of La Grange, LLC located?

Innovative Dialysis Centers Of La Grange, LLC is located at 1300 Lafayette Pkwy Suite D, Lagrange, GA 30241. The listed phone number is (706) 884-3765.

What is Innovative Dialysis Centers Of La Grange, 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 Innovative Dialysis Centers Of La Grange, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2060347) is associated with this NPI, valid through June 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Innovative Dialysis Centers Of La Grange, LLC a Medicare-certified dialysis facility?

Yes. Fresenius Kidney Care La Grange Home is a Medicare-certified dialysis facility, certified since August 7, 2013.

What insurance does Innovative Dialysis Centers Of La Grange, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 7 other insurers list Innovative Dialysis Centers Of La Grange, 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 Innovative Dialysis Centers Of La Grange, 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.