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HARPER WOODS DIALYSIS
NPI 1780953604
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Harper Woods, MI

Active since December 21, 2011CLIA 23D2035548 · Waiver
1/5
Overall Rating
19265 VERNIER RD, HARPER WOODS, MI 48225(313) 640-0271(313) 640-7683 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 2, 2024, Apr 15, 2022, Nov 24, 2020 (3 updates tracked since 2020).

About Harper Woods Dialysis NPPES

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

HARPER WOODS DIALYSIS (NPI 1780953604) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Harper Woods, Michigan and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1780953604
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameBEACHSIDE DIALYSIS LLC
Location Address19265 VERNIER RDHarper Woods, MI 48225-1010
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(313) 640-0271
Fax(313) 640-7683
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateDecember 21, 2011
Last NPPES UpdateOctober 18, 20243 updates tracked since enumeration
NPPES CertifiedOctober 18, 2024
✔ NPI 1780953604 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
19265 VERNIER RD, Harper Woods, MI 48225
Open in Google Maps ↗

Other Names 1

Doing Business AsHarper Woods Dialysis

Other Identifiers 1

Medicaid1780953604MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 23D2035548

Beachside Dialysis, LLC Dba Harper Woods Dialysis · Harper Woods, MI
Active · expires Jan 18, 2028
CLIA Number23D2035548
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorKeith A. Bellovich
Laboratory Phone(313) 640-0271
Laboratory LocationBeachside Dialysis, LLC Dba Harper Woods Dialysis19265 Vernier Road, Harper Woods, MI 48225
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 Harper Wood Dialysis (CMS certification number 232684), from CMS Care Compare.

DaVita Harper Wood Dialysis

Dialysis facility · Harper Woods, MI
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number232684
ESRD NetworkNetwork 11
Hemodialysis Stations24
Medicare-Certified SinceSeptember 26, 2012
Location19265 VERNIER RDHarper Woods, MI 48225 · Wayne County
Phone(313) 640-0271
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 Beachside Dialysis LLC's NPI number?

The NPI number for Beachside Dialysis LLC is 1780953604. It was assigned to this organization in the NPPES registry on December 21, 2011. The provider is doing business as Harper Woods Dialysis.

Where is Beachside Dialysis LLC located?

Beachside Dialysis LLC is located at 19265 Vernier Rd, Harper Woods, MI 48225. The listed phone number is (313) 640-0271.

What is Beachside Dialysis 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 Beachside Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2035548) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Beachside Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Harper Wood Dialysis is a Medicare-certified dialysis facility, certified since September 26, 2012.

What quality rating does Beachside Dialysis LLC have?

CMS rates DaVita Harper Wood Dialysis 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Beachside Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 9 other insurers list Beachside Dialysis 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 Beachside Dialysis LLC was last updated on October 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.