MEDICARE: DVA HEALTHCARE RENAL CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376511618
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DVA HEALTHCARE RENAL CARE, INC.

Provider Business Mailing Address
First Line	:	5200 VIRGINIA WAY
Second Line	:	L&C DEPT
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7569
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1711 ALTON RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2411
Country	:	US
Telephone Number	:	305-695-4175
Fax Number	:	305-695-4179

Authorized Official
Title or Position	:	VP, LICENSURE & CERTIFICATION
Name	:	SAMUEL WEY
Credential	:
Telephone Number	:	615-341-6641

Provider Enumeration Date	:	03/11/2006
Last Update Date	:	03/12/2026

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1295093797 — DEBORAH LYNNE HALL OTR/L
Practice Location Address:

5600 COLLINS AVE APT 11P
MIAMI BEACH, FL
33140-2411

Practice Phone: 305-865-3111
Practice Fax: 305-865-3111

1396004289 — LOW VISION THERAPY SERVICES OF MIAMI BEACH
Practice Location Address:

5600 COLLINS AVE , APT 11P
MIAMI BEACH, FL
33140-2411

Practice Phone: 305-865-3111
Practice Fax: 305-865-3111

1306793781 — ALEXIS DANIEL SANCHEZ
Practice Location Address:

2411 NW 10TH AVE APT 305
MIAMI, FL
33127-4285

Practice Phone: 305-290-9347
Practice Fax:

1093828857 — MR. ANDRE ROBERT CARPENTIER IDC
Practice Location Address:

USS MIAMI SSN-755
FPO, AE
09578-2411

Practice Phone: 860-694-3834
Practice Fax:

1811077829 — A TO Z THERAPY SERVICES INC
Practice Location Address:

980 NW 123RD CT
MIAMI, FL
33182-2411

Practice Phone: 305-776-3480
Practice Fax: 305-480-7589

Directions to “DVA HEALTHCARE RENAL CARE, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.