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

Q: What is Revino Dialysis, LLC's NPI number?

The NPI number for Revino Dialysis, LLC is 1841924800. It was assigned to this organization in the NPPES registry on July 14, 2022. The provider is doing business as Fort Pierce Kidney Care.

Q: What is Revino 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.

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: August 09, 2026.

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

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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 NPPES 2

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

GERARD Q FLORES MD PLLC

Internal Medicine (Nephrology)

2000 HARTMAN RD STE 2
FORT PIERCE, FL 34947

St. Lucie County (772) 465-1170

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

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 Revino Dialysis, LLC's NPI number?

The NPI number for Revino Dialysis, LLC is 1841924800. It was assigned to this organization in the NPPES registry on July 14, 2022. The provider is doing business as Fort Pierce Kidney Care.

Where is Revino Dialysis, LLC located?

Revino Dialysis, LLC is located at 2000 Hartman Rd Ste 2, Fort Pierce, FL 34947. The listed phone number is (772) 467-1117.

What is Revino 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 Revino Dialysis, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0984200) is associated with this NPI, valid through March 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Revino Dialysis, LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and AmeriHealth Caritas Next and 10 other insurers list Revino 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 Revino Dialysis, LLC was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.