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DVA RENAL HEALTHCARE, INC.

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Company Details

Name: DVA RENAL HEALTHCARE, INC.
Legal type: Name Reservation
Status: Deleted
File Date: 15 Jun 2005 (20 years ago)
Authority Date: 15 Jun 2005 (20 years ago)
Organization Number: 0615367

Commercial and government entity program

CAGE number:
5U9J9
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-07-31
CAGE Expiration:
2030-07-31
SAM Expiration:
2026-07-28

Contact Information

POC:
RYAN SPECK

Immediate Level Owner

Vendor Certified:
2025-07-29
CAGE number:
45JM2
Company Name:
DAVITA INC.

National Provider Identifier

NPI Number:
1184687824
Certification Date:
2025-02-11

Authorized Person:

Name:
SAMUEL WEY
Role:
VP LICENSURE & CERTIFICATION
Phone:

Taxonomy:

Selected Taxonomy:
261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2707070780

Assumed Names

Name Status Expiration Date
DVA RENAL HEALTHCARE, INC. Unknown 2005-10-13

Filings

Name File Date
Name Reservation 2005-06-15

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Sources: Kentucky Secretary of State