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FORT PIERCE KIDNEY CARE
NPI 1841924800
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fort Pierce, FL

Active since July 14, 2022CLIA 10D0984200 · Waiver
2000 HARTMAN RD STE 2, FORT PIERCE, FL 34947(772) 467-1117(772) 595-9340 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 24, 2024, Jun 13, 2023, Jul 14, 2022 (3 updates tracked since 2022).

About Fort Pierce Kidney Care NPPES

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

FORT PIERCE KIDNEY CARE (NPI 1841924800) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fort Pierce, Florida and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through March 15, 2027 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1841924800
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameREVINO DIALYSIS, LLC
Location Address2000 HARTMAN RD STE 2Fort Pierce, FL 34947-4413
Mailing Address5200 Virginia WayBrentwood, TN 37027-7569
Phone(772) 467-1117
Fax(772) 595-9340
Organization SubpartYesParent: Davita Inc
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateJuly 14, 2022
Last NPPES UpdateApril 24, 20243 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1841924800 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
2000 HARTMAN RD STE 2, Fort Pierce, FL 34947
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Other Names 1

Doing Business AsFort Pierce Kidney Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama 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 10D0984200

Fort Pierce Kidney Care · Fort Pierce, FL
Active · expires Mar 15, 2027
CLIA Number10D0984200
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorB Aurora Tomita
Laboratory Phone(772) 467-1117
Laboratory LocationFort Pierce Kidney Care2000 Hartman Rd Suite 2, Fort Pierce, FL 34947
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

BRIGHT KIDNEY CARE LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2000 HARTMAN RD STE 2
FORT PIERCE, FL 34947
St. Lucie County (772) 467-1117
GERARD Q FLORES MD PLLC
Internal Medicine (Nephrology)
2000 HARTMAN RD STE 2
FORT PIERCE, FL 34947
St. Lucie County (772) 465-1170

Frequently Asked Questions

What is REVINO DIALYSIS, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1841924800, enumerated as an "organization" on July 14, 2022.

Where is the provider located?

The provider is located at 2000 HARTMAN RD STE 2 FORT PIERCE, FL 34947 and the phone number is (772) 467-1117.

What is the provider's specialty?

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

What insurance does REVINO DIALYSIS, LLC accept?

The provider might be accepting Accepts: Ambetter from Magnolia Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.