GREENVILLE DIALYSIS CLINIC LLC
NPI 1114290368
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Greenville, SC
Overall Rating: 2 out of 5 stars
NPI Status: Active since February 20, 2012
Contact Information
220 HOWE ST
SUITE 220A
GREENVILLE, SC
ZIP 29601
Phone: (864) 271-2002
Fax: (864) 271-2003
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- Accepts Insurance
- CLIA Number: 42D2008498
- CLIA Cert. Type: Other - DETENTION CENTER JAIL
- CLIA Exp. Date: 03-31-2027
About GREENVILLE DIALYSIS CLINIC LLC
This page provides the complete NPI Profile along with additional information for Greenville Dialysis Clinic Llc, a provider established in Greenville, South Carolina operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1114290368 assigned on February 2012. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Sara Anne Brady (Chief Nursing Officer)
- NPI
- 1114290368
- Provider Name
- GREENVILLE DIALYSIS CLINIC LLC
- Entity Type
- Organization
- Location Address
- 220 HOWE ST SUITE 220A GREENVILLE, SC 29601
- Location Phone
- (864) 271-2002
- Location Fax
- (864) 271-2003
- Mailing Address
- 220 HOWE ST SUITE 220A GREENVILLE, SC 29601
- Mailing Phone
- (864) 271-2002
- Mailing Fax
- (864) 271-2003
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-20-2012
- Last Update Date
- 01-13-2023
- Code Navigator
According to the Dialysis Facility Compare program data, Greenville Dialysis Clinic Llc has a below average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 2 out of 5 stars.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - EPO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue Reedy Bronze 1 - HMO
- Blue Reedy Bronze 2 - HMO
- Blue Reedy Gold 1 - HMO
- Blue Reedy Silver 1 - HMO
- Blue Reedy Silver 2 - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value - HMO
- UHC Gold Advantage - HMO
- UHC Gold Advantage+ (Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded - HMO
- UHC Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| RE0040 | MEDICAID (05) | SC |
Dialysis Facility Compare Information
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D2008498
- Facility Type
- Other - DETENTION CENTER JAIL
- Certificate Effective Date
- April 01, 2025
- Certificate Expiration Date
- March 31, 2027
- Laboratory Director
- MS. NATALIE I. PUTNAM
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Greenville Dialysis Clinic Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 2 | 9 | 0 | 3 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 4 | 9 | 0 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 4 + 9 + 0 + 3 + 1 + 2 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1114290368 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114290368, enumerated in the NPI registry as an "organization" on February 20, 2012
The provider is located at 220 Howe St Suite 220a Greenville, Sc 29601 and the phone number is (864) 271-2002
This medical organization specializes in Clinic/Center with taxonomy code 261QE0700X with a focus in End-Stage Renal Disease (ESRD) Treatment
The provider might be accepting Accepts: Aetna CVS Health, BannerAetna, BlueCross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 42D2008498 for a "other - detention center jail" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
The Overall Quality Rating of this dialysis facility is 2 out of 5 stars which is a below average when compared to similar facilities. The overall quality rating is calculated using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.
This NPI record was last updated on February 20, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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