1. Home
  2. Directory
  3. Michigan
  4. Roscommon
  5. Clinic Center
  6. NPI Profile

ROSCOMMON DIALYSIS
NPI 1831512003
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Roscommon, MI

Active since January 24, 2014CLIA 23D2080486 · Waiver
3/5
Overall Rating
10450 N ROSCOMMON RD, ROSCOMMON, MI 48653(989) 275-0362(989) 275-0409 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 21, 2022, Jul 20, 2021, Nov 20, 2019 (3 updates tracked since 2019).

About Roscommon Dialysis NPPES

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

ROSCOMMON DIALYSIS (NPI 1831512003) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Roscommon, Michigan and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through July 8, 2028 and lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1831512003
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameHEIDECK DIALYSIS LLC
Location Address10450 N ROSCOMMON RDRoscommon, MI 48653-9296
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4514 · Fax (866) 594-9961
Phone(989) 275-0362
Fax(989) 275-0409
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateJanuary 24, 2014
Last NPPES UpdateDecember 21, 20223 updates tracked since enumeration
NPPES CertifiedDecember 21, 2022
✔ NPI 1831512003 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
10450 N ROSCOMMON RD, Roscommon, MI 48653
Open in Google Maps ↗

Other Names 1

Doing Business AsRoscommon Dialysis

Other Identifiers 1

Medicaid1831512003MI

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 23D2080486

Roscommon Dialysis · Roscommon, MI
Active · expires Jul 8, 2028
CLIA Number23D2080486
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorCarlos Marchena
Laboratory Phone(989) 275-0362
Laboratory LocationRoscommon Dialysis10450 N Roscommon Rd, Roscommon, MI 48653
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 Roscommon Dialysis (CMS certification number 232705), from CMS Care Compare.

DaVita Roscommon Dialysis

Dialysis facility · Roscommon, MI
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number232705
ESRD NetworkNetwork 11
Hemodialysis Stations13
Medicare-Certified SinceNovember 10, 2015
Location10450 N ROSCOMMON RDRoscommon, MI 48653 · Roscommon County
Phone(989) 275-0362
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 Heideck Dialysis LLC's NPI number?

The NPI number for Heideck Dialysis LLC is 1831512003. It was assigned to this organization in the NPPES registry on January 24, 2014. The provider is doing business as Roscommon Dialysis.

Where is Heideck Dialysis LLC located?

Heideck Dialysis LLC is located at 10450 N Roscommon Rd, Roscommon, MI 48653. The listed phone number is (989) 275-0362.

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

Yes. A Certificate of Waiver (number 23D2080486) is associated with this NPI, valid through July 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Heideck Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Roscommon Dialysis is a Medicare-certified dialysis facility, certified since November 10, 2015.

What quality rating does Heideck Dialysis LLC have?

CMS rates DaVita Roscommon Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Heideck 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 3 other insurers list Heideck 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 Heideck Dialysis LLC was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.