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RENVIVA LLC
NPI 1962873919
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Rockford, IL

Active since October 16, 2015CLIA 14D2109674 · Waiver
1/5
Overall Rating
1235 N MULFORD RD, ROCKFORD, IL 61107(513) 673-5245(866) 352-4339 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Renviva Llc NPPES

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

RENVIVA LLC (NPI 1962873919) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Rockford, Illinois and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Sandra Diane Fritzsch, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1962873919
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENVIVA LLC
Location Address1235 N MULFORD RDRockford, IL 61107-3879
Mailing Address1235 N Mulford RdRockford, IL 61107-3879 · (513) 673-5245 · Fax (866) 352-4333
Phone(513) 673-5245
Fax(866) 352-4339
Organization SubpartNo
Authorized OfficialSandra Diane FritzschMember Manager · (513) 673-5245
Enumeration DateOctober 16, 2015
Last NPPES UpdateSeptember 26, 2016
✔ NPI 1962873919 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
1235 N MULFORD RD, Rockford, IL 61107
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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 14D2109674

Renviva LLC · Rockford, IL
Active · expires Feb 28, 2028
CLIA Number14D2109674
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorFarhan Khan MD
Laboratory Phone(779) 423-1907
Laboratory LocationRenviva LLC1235 Cornerston Bldg, Mulford Rd, Rockford, IL 61107
CLIA data matches this NPI record on: Name
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 Renviva, LLC (CMS certification number 142803), from CMS Care Compare.

Renviva, LLC

Dialysis facility · Rockford, IL
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
CMS Certification Number142803
ESRD NetworkNetwork 10
Medicare-Certified SinceAugust 8, 2016
Location1235 N. Mulford RoadRockford, IL 61107 · Winnebago County
Phone(779) 423-1254
Services Offered
Peritoneal dialysis Home hemodialysis training

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.

DONALD H HOLDER MD
Orthopaedic Surgery
1235 N MULFORD RD
ROCKFORD, IL 61107
Winnebago County (815) 637-8637
MS. TANYA J. MUNGER NP
Nurse Practitioner
1235 N MULFORD RD, SUITE 222
ROCKFORD, IL 61107
Winnebago County (815) 397-8400
BRYN MAXINE BYERS KRAUSE NP
Nurse Practitioner
1235 N MULFORD RD, SUITE 205
ROCKFORD, IL 61107
Winnebago County (815) 484-9900
EMPICARE, INC.
Prosthetic/Orthotic Supplier
1235 N MULFORD RD, SUITE 100A
ROCKFORD, IL 61107
Winnebago County (815) 226-5600
DAVID L MCCARTY MD
Orthopaedic Surgery
1235 N MULFORD RD, STE 100
ROCKFORD, IL 61107
Winnebago County (815) 484-9999
MRS. CHRISTINE LENOX LCPC
Counselor (Professional)
1235 N MULFORD RD, SUITE 200
ROCKFORD, IL 61107
Winnebago County (815) 965-6644
CHRISTOPHER A GREEN MD
Orthopaedic Surgery
1235 N MULFORD RD
ROCKFORD, IL 61107
Winnebago County (815) 398-7755
ADVANCED ALLERGY & ENT, LLC
Otolaryngology
1235 N MULFORD RD, SUITE 100
ROCKFORD, IL 61107
Winnebago County (815) 484-9900

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 Renviva LLC's NPI number?

The NPI number for Renviva LLC is 1962873919. It was assigned to this organization in the NPPES registry on October 16, 2015.

Where is Renviva LLC located?

Renviva LLC is located at 1235 N Mulford Rd, Rockford, IL 61107. The listed phone number is (513) 673-5245.

What is Renviva 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 Renviva LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2109674) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Renviva LLC a Medicare-certified dialysis facility?

Yes. Renviva, LLC is a Medicare-certified dialysis facility, certified since August 8, 2016.

What quality rating does Renviva LLC have?

CMS rates Renviva, LLC 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Renviva LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Renviva 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 Renviva LLC was last updated on September 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.