ASHTABULA DIALYSIS
NPI 1932163268
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Ashtabula, OH

Q: What is DVA Healthcare Renal Care Inc's NPI number?

The NPI number for DVA Healthcare Renal Care Inc is 1932163268. It was assigned to this organization in the NPPES registry on April 13, 2006. The provider is doing business as Ashtabula Dialysis.

Q: What is DVA Healthcare Renal Care 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.

Active since April 13, 2006CLIA 36D0720688 · Waiver

1614 W 19TH ST, ASHTABULA, OH 44004(440) 964-9777(440) 964-8914 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2023, Apr 6, 2022, May 20, 2021 and 1 more (4 updates tracked since 2019).

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About Ashtabula Dialysis NPPES

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

ASHTABULA DIALYSIS (NPI 1932163268) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Ashtabula, Ohio and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through October 19, 2026 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1932163268

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameDVA HEALTHCARE RENAL CARE INC

Location Address1614 W 19TH STAshtabula, OH 44004-3036

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 238-3051 · Fax (800) 246-8346

Phone(440) 964-9777

Fax(440) 964-8914

Organization SubpartNo

Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641

Enumeration DateApril 13, 2006

Last NPPES UpdateDecember 12, 20234 updates tracked since enumeration

NPPES CertifiedDecember 12, 2023

✔ NPI 1932163268 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

License✔ Licensed in OH · 0440DC

1614 W 19TH ST, Ashtabula, OH 44004

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Other Names 1

Doing Business AsAshtabula Dialysis

Other Identifiers 2

Medicaid0321379OH

Medicaid1007635580123PA

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 36D0720688

Dva Healthcare Renal Care Inc Dba Ashtabula Dialysis · Ashtabula, OH

Active · expires Oct 19, 2026

CLIA Number36D0720688

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateOctober 20, 2024

Certificate Expiration DateOctober 19, 2026

Laboratory DirectorHoussam Mhanna

Laboratory Phone(440) 964-9777

Laboratory LocationDva Healthcare Renal Care Inc Dba Ashtabula Dialysis1614 West 19th Street, Ashtabula, OH 44004

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 DVA Healthcare Renal Care Inc's NPI number?

The NPI number for DVA Healthcare Renal Care Inc is 1932163268. It was assigned to this organization in the NPPES registry on April 13, 2006. The provider is doing business as Ashtabula Dialysis.

Where is DVA Healthcare Renal Care Inc located?

DVA Healthcare Renal Care Inc is located at 1614 W 19th St, Ashtabula, OH 44004. The listed phone number is (440) 964-9777.

What is DVA Healthcare Renal Care 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.

Does DVA Healthcare Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0720688) is associated with this NPI, valid through October 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does DVA Healthcare Renal Care Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 10 other insurers list DVA Healthcare Renal Care 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 DVA Healthcare Renal Care Inc was last updated on December 12, 2023. 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.