Organization
HALLOWELL DIALYSIS, LLC
Active
Organization
HALLOWELL DIALYSIS, LLC
Active
Parent organization
DAVITA INC
Other names
Rhodes Ranch Home Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVITA INC
Authorized official
SAMUEL WEY (VP, LICENSURE AND CERTIFICATION)
(800) 467-4736
Entity
Organization
Contact information
Practice address
7220 S CIMARRON RD STE 130, LAS VEGAS, NV 89113-2100
(702) 514-6001
(702) 514-6177
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 320-4283
(800) 320-3933
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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