Organization · Type 2 NPI

Livingston Dialysis LLC

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

NPI number 1881965911 Active

Practice location

4900 Forest Hill Ave
Richmond, VA 23225-3146

Call (804) 230-3594 Map

Fax (804) 230-3971

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...

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NPI record

NPI: 1881965911
Entity type: Organization (Type 2)
Issued: Jan 20, 2012
Last updated: Aug 6, 2025
Status: Active

Other names

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Forest Hill Avenue Dialysis · doing business as
Forest Hill Avenue Dialysis · doing business as

Authorized official

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

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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 1881965911

Livingston Dialysis LLC's National Provider Identifier is 1881965911, issued on Jan 20, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Richmond, VA. The record was last updated on Aug 6, 2025.