Organization · Type 2 NPI

Dva Renal Healthcare Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bloomfield, CT

NPI number 1477528271 Active

Practice location

29 Griffin Rd S
Bloomfield, CT 06002-1351

Call (860) 243-5389 Map

Fax (860) 243-8150

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	0275 (CT)

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

Another provider at this address

Jennifer Marie Jay, R.D.Registered Dietitian Bloomfield, CT NPI 1548466311

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

Bio-Medical Applications of Connecticut, Inc.End-Stage Renal Disease (ESRD) Treatment Clinic/Center Bloomfield, CT NPI 1013228816

See all in Bloomfield →

NPI record

NPI: 1477528271
Entity type: Organization (Type 2)
Issued: Feb 23, 2006
Last updated: Nov 12, 2025
Status: Active

Other names

<unavail>
Bloomfield Dialysis · doing business as
Bloomfield 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 1477528271

Dva Renal Healthcare Inc's National Provider Identifier is 1477528271, issued on Feb 23, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bloomfield, CT. The record was last updated on Nov 12, 2025.