WHITEWATER VALLEY DIALYSIS
NPI 1962878231
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Richmond, IN

Active since August 20, 2015CLIA 15D2104499 · Waiver
2/5
Overall Rating
2302 CHESTER BLVD, RICHMOND, IN 47374(765) 935-5128(765) 935-5749 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2021, Nov 21, 2019 (2 updates tracked since 2019).

About Whitewater Valley Dialysis NPPES

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

WHITEWATER VALLEY DIALYSIS (NPI 1962878231) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Richmond, Indiana and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through November 4, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1962878231
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameGOODALE DIALYSIS LLC
Location Address2302 CHESTER BLVDRichmond, IN 47374-1221
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569 · (615) 320-4514 · Fax (866) 594-9961
Fax(765) 935-5749
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateAugust 20, 2015
Last NPPES UpdateNovember 30, 20232 updates tracked since enumeration
NPPES CertifiedNovember 27, 2023
NPI 1962878231 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
2302 CHESTER BLVD, Richmond, IN 47374

Other Names 1

Doing Business AsWhitewater Valley Dialysis

Other Identifiers 1

Medicaid300009861IN

Accepted 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 15D2104499

Whitewater Valley Dialysis · Richmond, IN
Active · expires Nov 4, 2027
CLIA Number15D2104499
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorArshdeep Tidni
Laboratory Phone(765) 935-5128
Laboratory LocationWhitewater Valley Dialysis2302 Chester Blvd, Richmond, IN 47374
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 DaVita Whitewater Valley Dialysis (CMS certification number 152680), from CMS Care Compare.

DaVita Whitewater Valley Dialysis

Dialysis facility · Richmond, IN
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number152680
ESRD NetworkNetwork 9
Hemodialysis Stations12
Medicare-Certified SinceApril 4, 2017
Location2302 Chester BlvdRichmond, IN 47374 · Wayne County
Services Offered
In-center hemodialysis Peritoneal dialysis

Other Providers at the Same Location NPPES 3

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

Eyewear Supplier
2302 CHESTER BLVD
RICHMOND, IN 47374
Ophthalmology
2302 CHESTER BLVD
RICHMOND, IN 47374
Ophthalmology
2302 CHESTER BLVD
RICHMOND, IN 47374

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 Goodale Dialysis LLC's NPI number?

The NPI number for Goodale Dialysis LLC is 1962878231. It was assigned to this organization in the NPPES registry on August 20, 2015. The provider is doing business as Whitewater Valley Dialysis.

Where is Goodale Dialysis LLC located?

Goodale Dialysis LLC is located at 2302 Chester Blvd, Richmond, IN 47374. The listed phone number is (765) 935-5128.

What is Goodale Dialysis 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 Goodale Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2104499) is associated with this NPI, valid through November 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Goodale Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Whitewater Valley Dialysis is a Medicare-certified dialysis facility, certified since April 4, 2017.

What quality rating does Goodale Dialysis LLC have?

CMS rates DaVita Whitewater Valley Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Goodale Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Goodale Dialysis 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 Goodale Dialysis LLC was last updated on November 30, 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.