KIDNEY CARE CENTER OF WINTER HAVEN LLC
NPI 1801496104
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Winter Haven, FL

Active since October 27, 2020CLIA 10D2276767 · Waiver
1/5
Overall Rating
1107 3RD ST SW STE 9, WINTER HAVEN, FL 33880(305) 448-6261 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2020, Nov 17, 2020, Oct 27, 2020 (3 updates tracked since 2020).

About Kidney Care Center Of Winter Haven Llc NPPES

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

KIDNEY CARE CENTER OF WINTER HAVEN LLC (NPI 1801496104) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Winter Haven, Florida and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Federico Dumenigo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801496104
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameKIDNEY CARE CENTER OF WINTER HAVEN LLC
Location Address1107 3RD ST SW STE 9Winter Haven, FL 33880-3912
Mailing Address4960 Sw 72nd Ave Ste 208Miami, FL 33155-5549 · (305) 448-6261
Organization SubpartNo
Authorized OfficialFederico DumenigoCeo · (305) 448-6261
Enumeration DateOctober 27, 2020
Last NPPES UpdateDecember 16, 20203 updates tracked since enumeration
NPPES CertifiedDecember 16, 2020
NPI 1801496104 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
1107 3RD ST SW STE 9, Winter Haven, FL 33880

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 10D2276767

Kidney Care Center Of Winter Haven LLC · Winter Haven, FL
Active · expires Feb 14, 2027
CLIA Number10D2276767
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorHaldane Porteous
Laboratory Phone(863) 292-6089
Laboratory LocationKidney Care Center Of Winter Haven LLC1107 3rd St SW - Ste 9, Winter Haven, FL 33880
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 Kidney Care Center of Winter Haven (CMS certification number 682709), from CMS Care Compare.

Kidney Care Center of Winter Haven

Dialysis facility · Winter Haven, FL
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
CMS Certification Number682709
ESRD NetworkNetwork 7
Hemodialysis Stations12
Medicare-Certified SinceFebruary 1, 2021
Location1107 3rd Street SW Suite 9Winter Haven, FL 33880 · Polk County
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
1107 3RD ST SW STE 9
WINTER HAVEN, FL 33880

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 Kidney Care Center Of Winter Haven LLC's NPI number?

The NPI number for Kidney Care Center Of Winter Haven LLC is 1801496104. It was assigned to this organization in the NPPES registry on October 27, 2020.

Where is Kidney Care Center Of Winter Haven LLC located?

Kidney Care Center Of Winter Haven LLC is located at 1107 3rd St SW Ste 9, Winter Haven, FL 33880. The listed phone number is (305) 448-6261.

What is Kidney Care Center Of Winter Haven 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 Kidney Care Center Of Winter Haven LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2276767) is associated with this NPI, valid through February 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Kidney Care Center Of Winter Haven LLC a Medicare-certified dialysis facility?

Yes. Kidney Care Center of Winter Haven is a Medicare-certified dialysis facility, certified since February 1, 2021.

What quality rating does Kidney Care Center Of Winter Haven LLC have?

CMS rates Kidney Care Center of Winter Haven 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Kidney Care Center Of Winter Haven LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Kidney Care Center Of Winter Haven 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 Kidney Care Center Of Winter Haven LLC was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.