RENVIVA LLC
NPI 1962873919
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Rockford, IL
Overall Rating: 1 out of 5 stars
NPI Status: Active since October 16, 2015
Contact Information
1235 N MULFORD RD
ROCKFORD, IL
ZIP 61107
Phone: (513) 673-5245
Fax: (866) 352-4339
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- Accepts Insurance
- CLIA Number: 14D2109674
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 02-27-2026
About RENVIVA LLC
This page provides the complete NPI Profile along with additional information for Renviva Llc, a provider established in Rockford, Illinois operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1962873919 assigned on October 2015. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Ms. Sandra Diane Fritzsch (Member Manager)
- NPI
- 1962873919
- Provider Name
- RENVIVA LLC
- Entity Type
- Organization
- Location Address
- 1235 N MULFORD RD ROCKFORD, IL 61107
- Location Phone
- (513) 673-5245
- Location Fax
- (866) 352-4339
- Mailing Address
- 1235 N MULFORD RD ROCKFORD, IL 61107
- Mailing Phone
- (513) 673-5245
- Mailing Fax
- (866) 352-4339
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-16-2015
- Last Update Date
- 09-26-2016
- Code Navigator
According to the Dialysis Facility Compare program data, Renviva Llc has a much 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 1 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:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 14D2109674
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- February 29, 2024
- Certificate Expiration Date
- February 27, 2026
- Laboratory Director
- FARHAN KHAN MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Renviva Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for RENVIVA LLC
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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 | 9 | 6 | 2 | 8 | 7 | 3 | 9 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 16 | 7 | 6 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 1 + 6 + 7 + 6 + 9 + 2 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1962873919 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326048547 | CHRISTOPHER A GREEN MD Individual | Orthopaedic Surgery | 1235 N MULFORD RD ROCKFORD, IL 61107 (815) 398-7755 |
| 1497755573 | SCOTT JONES PT Individual | Physical Medicine & Rehabilitation | 1235 N MULFORD RD ROCKFORD, IL 61107 (920) 451-8142 |
| 1295722650 | DAVID L MCCARTY MD Individual | Orthopaedic Surgery | 1235 N MULFORD RD STE 100 ROCKFORD, IL 61107 (815) 484-9999 |
| 1740277102 | ORTHOPEDIC ASSOCIATES OF NORTHERN ILLINOIS, LLC Organization | Orthopaedic Surgery | 1235 N MULFORD RD SUITE 100 ROCKFORD, IL 61107 (815) 484-9999 |
| 1508812611 | ORTHOPAEDIC & ARTHRITIS CLINIC OF ROCKFORD LTD Organization | Orthopaedic Surgery | 1235 N MULFORD RD ROCKFORD, IL 61107 (815) 398-7755 |
| 1083621627 | DONALD H HOLDER MD Individual | Orthopaedic Surgery | 1235 N MULFORD RD ROCKFORD, IL 61107 (815) 637-8637 |
| 1346449022 | ADVANCED ALLERGY & ENT, LLC Organization | Otolaryngology | 1235 N MULFORD RD SUITE 100 ROCKFORD, IL 61107 (815) 484-9900 |
| 1922295328 | ADVANCED FACIAL PLASTICS & MOHS Organization | Dermatology (MOHS-Micrographic Surgery) | 1235 N MULFORD RD SUITE 100 ROCKFORD, IL 61107 (815) 484-9900 |
| 1881877686 | VIVEK THAPPA, M.D., S.C. Organization | Internal Medicine (Pulmonary Disease) | 1235 N MULFORD RD SUITE 100 ROCKFORD, IL 61107 (815) 316-1899 |
| 1669640504 | TODD D ALEXANDER MD SC Organization | Neurological Surgery | 1235 N MULFORD RD SUITE 210 ROCKFORD, IL 61107 (815) 397-0077 |
| 1306211198 | MRS. CHRISTINE LENOX LCPC Individual | Counselor (Professional) | 1235 N MULFORD RD SUITE 200 ROCKFORD, IL 61107 (815) 965-6644 |
| 1447276480 | MEDICAL PAIN MANAGEMENT SERVICES, LTD. Organization | Clinic/Center (Pain) | 1235 N MULFORD RD ROCKFORD, IL 61107 (815) 397-8400 |
| 1578971487 | NORTHERN ILLINOIS TRAUMA REGIONAL ORTHOPAEDICS, LLC Organization | Orthopaedic Surgery (Orthopaedic Trauma) | 1235 N MULFORD RD SUITE 103 ROCKFORD, IL 61107 (815) 636-0700 |
| 1821091075 | DR. SUSAN M FOWELL MD Individual | Ophthalmology (Retina Specialist) | 1235 N MULFORD RD SUITE 100 ROCKFORD, IL 61107 (815) 226-4990 |
| 1942483664 | NORTHERN ILLINOIS RETINA LTD Organization | Ophthalmology (Retina Specialist) | 1235 N MULFORD RD SUITE 100 ROCKFORD, IL 61107 (815) 226-4990 |
| 1609952670 | MS. VIRGINIA L. VELAZQUEZ NP Individual | Nurse Practitioner | 1235 N MULFORD RD SUITE 222 ROCKFORD, IL 61107 (815) 397-8400 |
| 1154576221 | MS. TANYA J. MUNGER NP Individual | Nurse Practitioner | 1235 N MULFORD RD SUITE 222 ROCKFORD, IL 61107 (815) 397-8400 |
| 1245381458 | EMPICARE, INC. Organization | Durable Medical Equipment & Medical Supplies | 1235 N MULFORD RD SUITE 100A ROCKFORD, IL 61107 (815) 226-5600 |
| 1508979345 | JACK W LENOX M.D. Individual | Obstetrics & Gynecology (Gynecology) | 1235 N MULFORD RD STE 200 ROCKFORD, IL 61107 (815) 965-6644 |
| 1164875852 | BRYN MAXINE BYERS KRAUSE NP Individual | Nurse Practitioner | 1235 N MULFORD RD SUITE 205 ROCKFORD, IL 61107 (815) 484-9900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962873919, enumerated in the NPI registry as an "organization" on October 16, 2015
The provider is located at 1235 N Mulford Rd Rockford, Il 61107 and the phone number is (513) 673-5245
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: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 14D2109674 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
The Overall Quality Rating of this dialysis facility is 1 out of 5 stars which is a much 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 October 16, 2015. 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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