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Organization
DAVITA MEDICAL HOME LLC
Active
Organization
DAVITA MEDICAL HOME LLC
Active
Parent organization
DAVITA INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVITA INC
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
745 BATTLEFIELD BLVD N STE 100, CHESAPEAKE, VA 23320-0305
(757) 312-8346
Mailing address
2000 16TH ST, DENVER, CO 80202-5117
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/24/2025
Last updated
04/28/2026
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