Organization · Type 2 NPI

Dva Healthcare Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Ormond Beach, FL

NPI number 1174591408 Active

Practice location

420 S Nova Rd, Ste 7
Ormond Beach, FL 32174-0411

Call (386) 676-2405 Map

Fax (386) 676-6738

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

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

Another provider at this address

Metcare of Ormond BeachFamily Medicine Physician Ormond Beach, FL NPI 1265816219

NPI record

NPI: 1174591408
Entity type: Organization (Type 2)
Issued: Mar 11, 2006
Last updated: Aug 29, 2025
Status: Active

Other names

<unavail>
Ormond Beach Dialysis · doing business as
Ormond Beach Dialysis · doing business as

Authorized official

Samuel 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 1174591408

Dva Healthcare Renal Care Inc's National Provider Identifier is 1174591408, issued on Mar 11, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Ormond Beach, FL. The record was last updated on Aug 29, 2025.