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RENAL TREATMENT CENTERS-ILLINOIS INC
NPI 1902873656
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Shenandoah, IA

Active since March 01, 2006
3/5
Overall Rating
300 PERSHING AVE, SHENANDOAH, IA 51601(712) 246-5220(712) 246-5226 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2024, Sep 13, 2022, Jul 10, 2020 and 2 more (5 updates tracked since 2018).

About Renal Treatment Centers-illinois Inc NPPES

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

RENAL TREATMENT CENTERS-ILLINOIS INC (NPI 1902873656), doing business as Shenandoah Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Shenandoah, Iowa and active in the NPI registry since March 2006. The organization lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1902873656
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL TREATMENT CENTERS-ILLINOIS INC
Location Address300 PERSHING AVEShenandoah, IA 51601-2355
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(712) 246-5220
Fax(712) 246-5226
Organization SubpartNo
Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateMarch 1, 2006
Last NPPES UpdateApril 18, 20255 updates tracked since enumeration
NPPES CertifiedApril 18, 2025
✔ NPI 1902873656 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
300 PERSHING AVE, Shenandoah, IA 51601
Open in Google Maps ↗

Other Names 1

Doing Business AsShenandoah Dialysis

Other Identifiers 3

Medicaid0625277IA
Medicaid10025304400NE
Medicaid1902873656MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Medica and more.Insurance ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Shenandoah Dialysis (CMS certification number 162527), from CMS Care Compare.

DaVita Shenandoah Dialysis

Dialysis facility · Shenandoah, IA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number162527
ESRD NetworkNetwork 12
Hemodialysis Stations12
Medicare-Certified SinceNovember 1, 2003
Location300 Pershing AvenueShenandoah, IA 51601 · Page County
Phone(712) 246-5220
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 20

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

ALISHA ANN HOUCHIN PTA
Physical Therapy Assistant
300 PERSHING AVE
SHENANDOAH, IA 51601
Page County (712) 246-7000
LINDA ROST LMSW
Social Worker
300 PERSHING AVE
SHENANDOAH, IA 51601
Page County (712) 246-1230
AMANDA NICOLE SMITH NP
Nurse Practitioner
300 PERSHING AVE
SHENANDOAH, IA 51601
Page County (712) 246-7300
DR. LEVI CORY SMITH DPM
Podiatrist
300 PERSHING AVE
SHENANDOAH, IA 51601
Page County (712) 246-7400
STEPHANIE EIDE
Occupational Therapist
300 PERSHING AVE
SHENANDOAH, IA 51601
Page County (712) 246-1230
DR. ASHLEE JO RICHARDSON PT, DPT
Physical Therapist
300 PERSHING AVE
SHENANDOAH, IA 51601
Page County (712) 246-7000
DENISE J MCENANEY
Dietitian, Registered
300 PERSHING AVE
SHENANDOAH, IA 51601
Page County (712) 246-7400
JENNIFER ANN LUNDGREN PMHNP
Psychiatry & Neurology (Psychiatry)
300 PERSHING AVE
SHENANDOAH, IA 51601
Page County (712) 246-7285

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 Renal Treatment Centers-Illinois Inc's NPI number?

The NPI number for Renal Treatment Centers-Illinois Inc is 1902873656. It was assigned to this organization in the NPPES registry on March 1, 2006. The provider is doing business as Shenandoah Dialysis.

Where is Renal Treatment Centers-Illinois Inc located?

Renal Treatment Centers-Illinois Inc is located at 300 Pershing Ave, Shenandoah, IA 51601. The listed phone number is (712) 246-5220.

What is Renal Treatment Centers-Illinois Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Is Renal Treatment Centers-Illinois Inc a Medicare-certified dialysis facility?

Yes. DaVita Shenandoah Dialysis is a Medicare-certified dialysis facility, certified since November 1, 2003.

What quality rating does Renal Treatment Centers-Illinois Inc have?

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

What insurance does Renal Treatment Centers-Illinois Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Medica, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers list Renal Treatment Centers-Illinois Inc 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 Renal Treatment Centers-Illinois Inc was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.