GREEN COUNTRY DIALYSIS LLC
NPI 1881975662
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Davenport, IA

Active since September 07, 2011CLIA 16D2031208 · Waiver
2/5
Overall Rating
5250 UTICA RIDGE RD, DAVENPORT, IA 52807(563) 355-7913(563) 355-4007 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2025, Nov 17, 2023, Oct 20, 2022 and 3 more (6 updates tracked since 2017).

About Green Country Dialysis Llc NPPES

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

GREEN COUNTRY DIALYSIS LLC (NPI 1881975662), doing business as Green Country Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Davenport, Iowa and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1881975662
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameGREEN COUNTRY DIALYSIS LLC
Location Address5250 UTICA RIDGE RDDavenport, IA 52807-3872
Mailing Address5200 Virginia Way, L&c Dept.Brentwood, TN 37027-7569
Fax(563) 355-4007
Organization SubpartNo
Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateSeptember 7, 2011
Last NPPES UpdateSeptember 17, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
NPI 1881975662 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
5250 UTICA RIDGE RD, Davenport, IA 52807

Other Names 1

Doing Business AsGreen Country Dialysis

Other Identifiers 1

Medicaid1881975662IA

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 16D2031208

Green Country Dialysis LLC · Davenport, IA
Active · expires Oct 13, 2027
CLIA Number16D2031208
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorRajendra Dahal
Laboratory Phone(563) 355-7913
Laboratory LocationGreen Country Dialysis LLC5250 Utica Ridge Road, Davenport, IA 52807
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 Green Country Dialysis (CMS certification number 162554), from CMS Care Compare.

DaVita Green Country Dialysis

Dialysis facility · Davenport, IA
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number162554
ESRD NetworkNetwork 12
Hemodialysis Stations12
Medicare-Certified SinceSeptember 24, 2012
Location5250 Utica Ridge RdDavenport, IA 52807 · Scott County
Services Offered
In-center hemodialysis Peritoneal dialysis

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 Green Country Dialysis LLC's NPI number?

The NPI number for Green Country Dialysis LLC is 1881975662. It was assigned to this organization in the NPPES registry on September 7, 2011. The provider is doing business as Green Country Dialysis.

Where is Green Country Dialysis LLC located?

Green Country Dialysis LLC is located at 5250 Utica Ridge Rd, Davenport, IA 52807. The listed phone number is (563) 355-7913.

What is Green Country 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 Green Country Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2031208) is associated with this NPI, valid through October 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Green Country Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Green Country Dialysis is a Medicare-certified dialysis facility, certified since September 24, 2012.

What quality rating does Green Country Dialysis LLC have?

CMS rates DaVita Green Country Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Green Country Dialysis LLC accept?

Health plans from Medica, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 3 other insurers list Green Country 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 Green Country Dialysis LLC was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.