# DAVITA MEDICAL HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DAVITA INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588525935
- **Legal business name:** DAVITA INC
- **Authorized official:** SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
- **Authorized official phone:** (615) 341-6641

## Contact information

- **Practice address:** 745 BATTLEFIELD BLVD N STE 100, CHESAPEAKE, VA 23320-0305
- **Practice address phone:** (757) 312-8346
- **Mailing address:** 2000 16TH ST, DENVER, CO 80202-5117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/24/2025
- **Last updated:** 04/28/2026