Organization · Type 2 NPI

Dva Renal Healthcare Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Crestview Hills, KY

NPI number 1124081252 Active

Practice location

400 Centre View Blvd
Crestview Hills, KY 41017-3478

Call (859) 341-5561 Map

Fax (859) 341-5746

Mailing address

5200 Virginia Way, Att: L&c Department
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	300102 (KY)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

Another provider at this address

Ohio River Dialysis LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Crestview Hills, KY NPI 1437349685

Other end-stage renal disease (esrd) treatment clinic/center providers in Crestview Hills

See all in Crestview Hills →

NPI record

NPI: 1124081252
Entity type: Organization (Type 2)
Issued: Apr 10, 2006
Last updated: Aug 14, 2025
Status: Active

Other names

<unavail>
Crestview Hills Dialysis · doing business as
Crestview Hills Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124081252

Dva Renal Healthcare Inc's National Provider Identifier is 1124081252, issued on Apr 10, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Crestview Hills, KY. The record was last updated on Aug 14, 2025.