LAKE ST LOUIS DIALYSIS
NPI 1952362519
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lake St Louis, MO

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

The NPI number for DVA Healthcare Renal Care Inc is 1952362519. It was assigned to this organization in the NPPES registry on March 31, 2006. The provider is doing business as Lake St Louis 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.

Q: What quality rating does DVA Healthcare Renal Care Inc have?

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

Active since March 31, 2006CLIA 26D0895639 · Waiver

3/5

Overall Rating

200 BREVCO PLZ STE 201, LAKE ST LOUIS, MO 63367(636) 561-4799(636) 561-4533 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2023, May 14, 2020, Nov 11, 2019 and 2 more (5 updates tracked since 2018).

On this page

About Lake St Louis Dialysis NPPES

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

LAKE ST LOUIS DIALYSIS (NPI 1952362519) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Lake St Louis, Missouri and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through December 13, 2026 and lists Samuel Wey, Sr Director Licensure&certification, as its authorized official.

NPPES Registry Identity

NPI1952362519

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameDVA HEALTHCARE RENAL CARE INC

Location Address200 BREVCO PLZ STE 201Lake St Louis, MO 63367

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 341-6264 · Fax (800) 297-2925

Phone(636) 561-4799

Fax(636) 561-4533

Organization SubpartNo

Authorized OfficialSamuel WeySr Director Licensure&certification · (615) 341-6641

Enumeration DateMarch 31, 2006

Last NPPES UpdateAugust 22, 20235 updates tracked since enumeration

NPPES CertifiedAugust 22, 2023

✔ NPI 1952362519 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

200 BREVCO PLZ STE 201, Lake St Louis, MO 63367

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Other Names 1

Doing Business AsLake St Louis Dialysis

Other Identifiers 1

Medicaid501537849MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 26D0895639

Lake St Louis Dialysis · Lake Saint Louis, MO

Active · expires Dec 13, 2026

CLIA Number26D0895639

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateDecember 14, 2024

Certificate Expiration DateDecember 13, 2026

Laboratory DirectorNathaniel Reisinger

Laboratory Phone(636) 561-4799

Laboratory LocationLake St Louis Dialysis200 Brevco Plaza, Suite 201, Lake Saint Louis, MO 63367

CLIA data matches this NPI record on: 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 Lake St Louis Dialysis (CMS certification number 262541), from CMS Care Compare.

DaVita Lake St Louis Dialysis

Dialysis facility · Lake Saint Louis, MO

3/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number262541

ESRD NetworkNetwork 12

Hemodialysis Stations14

Medicare-Certified SinceFebruary 16, 1995

Location200 Brevco Plaza Ste 201Lake Saint Louis, MO 63367 · Saint Charles County

Phone(636) 561-4799

Services Offered

In-center hemodialysis Peritoneal dialysis Home hemodialysis training

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 1952362519. It was assigned to this organization in the NPPES registry on March 31, 2006. The provider is doing business as Lake St Louis Dialysis.

Where is DVA Healthcare Renal Care Inc located?

DVA Healthcare Renal Care Inc is located at 200 Brevco Plz Ste 201, Lake St Louis, MO 63367. The listed phone number is (636) 561-4799.

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 26D0895639) is associated with this NPI, valid through December 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is DVA Healthcare Renal Care Inc a Medicare-certified dialysis facility?

Yes. DaVita Lake St Louis Dialysis is a Medicare-certified dialysis facility, certified since February 16, 1995.

What quality rating does DVA Healthcare Renal Care Inc have?

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

What insurance does DVA Healthcare Renal Care Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 11 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 August 22, 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.