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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

Other

Enumeration date
11/24/2025
Last updated
04/28/2026
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