Davita Riverside LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1205895869

Davita Riverside LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lake Elsinore, California. Medicare rates this dialysis facility 4 out of 5. Licensed in California.

CMS rating: 4 of 5
Licensed in: CA
In the registry since: 2006

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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CMS quality rating

4 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 052895)

Practice location Address checks out

32291 Mission Trl Bldg S
Lake Elsinore, CA 92530-2310
Phone: (951) 674-5050
Fax: (951) 674-5570

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary)	Taxonomy 261QE0700X · Licence 240000841 (CA)

Record details

NPI number	1205895869
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names	Lake Elsinore Dialysis; Lake Elsinore Dialysis
NPI enumerated	March 22, 2006
Last updated in NPPES	December 24, 2024
Certification date	December 24, 2024
Mailing address	5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569