Organization · Type 2 NPI

Stines Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Virginia Beach, VA

NPI number 1609110758 Active

Practice location

230 Clearfield Ave, Ste 106
Virginia Beach, VA 23462-1832

Call (757) 518-9439 Map

Fax (757) 519-9519

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...

3 other providers at this address

Vann-Virginia Center for Orthopaedics PCOrthopaedic Surgery Physician Virginia Beach, VA NPI 1184666877
Griffin Patterson, MS, LAT, ATCAthletic Trainer Virginia Beach, VA NPI 1427691906
Riley Nean Fontaine, MSAT, ATC, OTCAthletic Trainer Virginia Beach, VA NPI 1700276821

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NPI record

NPI: 1609110758
Entity type: Organization (Type 2)
Issued: Nov 15, 2012
Last updated: Nov 19, 2025
Status: Active

Other names

<unavail>
Tidewater Home Dialysis · doing business as
Tidewater Home 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 1609110758

Stines Dialysis LLC's National Provider Identifier is 1609110758, issued on Nov 15, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Virginia Beach, VA. The record was last updated on Nov 19, 2025.