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DVA HEALTHCARE RENAL CARE, INC.
NPI 1750358172
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lake Wales, FL

Active since March 03, 2006
2/5
Overall Rating
1125 BRYN MAWR AVE, LAKE WALES, FL 33853(863) 679-9851(863) 679-9856 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2026, Nov 20, 2024, Feb 6, 2023 and 4 more (7 updates tracked since 2018).

About Dva Healthcare Renal Care, Inc. NPPES

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

DVA HEALTHCARE RENAL CARE, INC. (NPI 1750358172), doing business as Lake Wales Dialysis Center, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Lake Wales, Florida and active in the NPI registry since March 2006. The organization lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1750358172
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA HEALTHCARE RENAL CARE, INC.
Location Address1125 BRYN MAWR AVELake Wales, FL 33853-4333
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(863) 679-9851
Fax(863) 679-9856
Organization SubpartNo
Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateMarch 3, 2006
Last NPPES UpdateMarch 17, 20267 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1750358172 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
1125 BRYN MAWR AVE, Lake Wales, FL 33853
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Other Names 1

Doing Business AsLake Wales Dialysis Center

Other Identifiers 1

Medicaid200518217FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Lake Wales Dialysis (CMS certification number 102712), from CMS Care Compare.

DaVita Lake Wales Dialysis

Dialysis facility · Lake Wales, FL
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number102712
ESRD NetworkNetwork 7
Hemodialysis Stations12
Medicare-Certified SinceDecember 2, 1996
Location1125 BRYN MAWR AVELake Wales, FL 33853 · Polk County
Phone(863) 679-9851
Services Offered
In-center hemodialysis

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 Healthcare Renal Care, Inc.'s NPI number?

The NPI number for DVA Healthcare Renal Care, Inc. is 1750358172. It was assigned to this organization in the NPPES registry on March 3, 2006. The provider is doing business as Lake Wales Dialysis Center.

Where is DVA Healthcare Renal Care, Inc. located?

DVA Healthcare Renal Care, Inc. is located at 1125 Bryn Mawr Ave, Lake Wales, FL 33853. The listed phone number is (863) 679-9851.

What is DVA Healthcare Renal Care, 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.

Is DVA Healthcare Renal Care, Inc. a Medicare-certified dialysis facility?

Yes. DaVita Lake Wales Dialysis is a Medicare-certified dialysis facility, certified since December 2, 1996.

What quality rating does DVA Healthcare Renal Care, Inc. have?

CMS rates DaVita Lake Wales Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does DVA Healthcare Renal Care, Inc. accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Health First Commercial Plans, Inc. and 9 other insurers list DVA Healthcare Renal Care, Inc. 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 DVA Healthcare Renal Care, Inc. was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.