BROOKSHIRE DIALYSIS
NPI 1821500661
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Charlotte, NC

Active since November 02, 2017CLIA 34D2143054 · Waiver
3/5
Overall Rating
5601 TUCKASEEGEE RD, CHARLOTTE, NC 28208(704) 395-6091(704) 395-4963 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 14, 2023, Jan 20, 2021, Dec 13, 2018 and 1 more (4 updates tracked since 2017).

About Brookshire Dialysis NPPES

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

BROOKSHIRE DIALYSIS (NPI 1821500661) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Charlotte, North Carolina and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1821500661
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA HEALTHCARE RENAL CARE, INC.
Location Address5601 TUCKASEEGEE RDCharlotte, NC 28208-2525
Mailing Address5200 Virginia Way, L & C DepartmentBrentwood, TN 37027-7569 · (615) 320-4593 · Fax (800) 293-5872
Fax(704) 395-4963
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateNovember 2, 2017
Last NPPES UpdateMarch 14, 20234 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
NPI 1821500661 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
5601 TUCKASEEGEE RD, Charlotte, NC 28208

Other Names 1

Doing Business AsBrookshire Dialysis

Other Identifiers 1

Medicaid1821500661NC

Accepted Insurance

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating
The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.
- 3 out of 5 stars - Average
Dialysis Facility TypeProfit
Is it part of a chain?Yes
Corporate NameDaVita
Shifts Starting After 5PM Shifts Starting After 5PM
If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.
No
In-Center Hemodialysis In-Center Hemodialysis
Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.
Yes
Number of Hemodialysis Stations Number of Hemodialysis Stations
The number of hemodialysis stations in the dialysis facility.
10
Peritoneal Dialysis Peritoneal Dialysis
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.
No
Home Hemodialysis Training Home Hemodialysis Training
If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.
No
Certification or Recertification Date07-02-2018

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2143054
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
January 24, 2026
Certificate Expiration Date
January 23, 2028
Laboratory Director
JAMES E. WOOD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Brookshire Dialysis to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821500661, enumerated as an "organization" on November 02, 2017.

The provider is located at 5601 TUCKASEEGEE RD CHARLOTTE, NC 28208 and the phone number is (704) 395-6091.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.