LAKE CHARLES SOUTH DIALYSIS
NPI 1750340816
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lake Charles, LA

Q: What is DVA Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1750340816. It was assigned to this organization in the NPPES registry on March 18, 2006. The provider is doing business as Lake Charles South Dialysis.

Q: What is DVA Renal Healthcare Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Active since March 18, 2006

4015 COMMON ST, LAKE CHARLES, LA 70607(337) 562-2022(337) 562-2555 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lake Charles South Dialysis NPPES

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

LAKE CHARLES SOUTH DIALYSIS (NPI 1750340816) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Lake Charles, Louisiana and active in the NPI registry since March 2006. The organization lists Thomas O Usilton, Group Vice President, as its authorized official.

NPPES Registry Identity

NPI1750340816

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameDVA RENAL HEALTHCARE INC

Location Address4015 COMMON STLake Charles, LA 70607-2942

Mailing Address5200 Virginia Way, Ste 400 L&cBrentwood, TN 37027-7569 · (615) 320-4218 · Fax (303) 209-7825

Phone(337) 562-2022

Fax(337) 562-2555

Organization SubpartNo

Authorized OfficialThomas O UsiltonGroup Vice President · (770) 541-7922

Enumeration DateMarch 18, 2006

Last NPPES UpdateJuly 11, 2007

✔ NPI 1750340816 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

License✔ Licensed in LA · 091

4015 COMMON ST, Lake Charles, LA 70607

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Other Names 1

Doing Business AsLake Charles South Dialysis

Other Identifiers 2

Medicare OSCAR/certification192634

Medicaid1102199LA

Other Providers at the Same Location NPPES

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

AMEDISYS LOUISIANA, LLC

Home Health

4015 COMMON ST
LAKE CHARLES, LA 70607

Calcasieu Parish (337) 477-9820

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 DVA Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1750340816. It was assigned to this organization in the NPPES registry on March 18, 2006. The provider is doing business as Lake Charles South Dialysis.

Where is DVA Renal Healthcare Inc located?

DVA Renal Healthcare Inc is located at 4015 Common St, Lake Charles, LA 70607. The listed phone number is (337) 562-2022.

What is DVA Renal Healthcare Inc'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 DVA Renal Healthcare Inc was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.