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DCI LAKE HOME DIALYSIS
NPI 1952748097
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Osage Beach, MO

Active since May 30, 2013CLIA 26D2079334 · Waiver
4/5
Overall Rating
3797 OSAGE BEACH PKWY STE B4, OSAGE BEACH, MO 65065(573) 302-0375(573) 302-0383 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 21, 2023, Jul 16, 2019 (2 updates tracked since 2019).

About Dci Lake Home Dialysis NPPES

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

DCI LAKE HOME DIALYSIS (NPI 1952748097) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Osage Beach, Missouri and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through June 12, 2028 and lists Donovan Schultz, President, as its authorized official.

NPPES Registry Identity

NPI1952748097
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDIALYSIS CLINIC INC.
Location Address3797 OSAGE BEACH PKWY STE B4Osage Beach, MO 65065-2186
Mailing Address1633 Church St Ste 500Nashville, TN 37203-2948 · (615) 342-0552 · Fax (615) 341-9261
Phone(573) 302-0375
Fax(573) 302-0383
Organization SubpartNo
Authorized OfficialDonovan SchultzPresident · (615) 327-3061
Enumeration DateMay 30, 2013
Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
✔ NPI 1952748097 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
3797 OSAGE BEACH PKWY STE B4, Osage Beach, MO 65065
Open in Google Maps ↗

Other Names 1

Doing Business AsDci Lake Home Dialysis

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 26D2079334

Dci Lake Home Dialysis · Osage Beach, MO
Active · expires Jun 12, 2028
CLIA Number26D2079334
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorHarbaksh Sangha
Laboratory Phone(573) 302-0375
Laboratory LocationDci Lake Home Dialysis3797 Osage Beach Parkway, Suite B4, Osage Beach, MO 65065
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 DCI Lake Home Dialysis (CMS certification number 262661), from CMS Care Compare.

DCI Lake Home Dialysis

Dialysis facility · Osage Beach, MO
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipNon-profit
ChainDialysis Clinic, Inc.
CMS Certification Number262661
ESRD NetworkNetwork 12
Hemodialysis Stations1
Medicare-Certified SinceNovember 20, 2013
Location3797 Osage Beach Parkway Suite B4Osage Beach, MO 65065 · Camden County
Phone(573) 302-0375
Services Offered
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 Dialysis Clinic Inc.'s NPI number?

The NPI number for Dialysis Clinic Inc. is 1952748097. It was assigned to this organization in the NPPES registry on May 30, 2013. The provider is doing business as DCI Lake Home Dialysis.

Where is Dialysis Clinic Inc. located?

Dialysis Clinic Inc. is located at 3797 Osage Beach Pkwy Ste B4, Osage Beach, MO 65065. The listed phone number is (573) 302-0375.

What is Dialysis Clinic 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 Dialysis Clinic Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2079334) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Dialysis Clinic Inc. a Medicare-certified dialysis facility?

Yes. DCI Lake Home Dialysis is a Medicare-certified dialysis facility, certified since November 20, 2013.

What quality rating does Dialysis Clinic Inc. have?

CMS rates DCI Lake Home Dialysis 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Dialysis Clinic 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 9 other insurers list Dialysis Clinic 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 Dialysis Clinic Inc. was last updated on August 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.