Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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DVA Healthcare of Pennsylvania LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1841253176

DVA Healthcare of Pennsylvania LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Philadelphia, Pennsylvania. Medicare rates this dialysis facility 4 out of 5. Registered with an NPI since 2006.

CMS rating
4 of 5
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 392521)

Practice location Address checks out

4126 Walnut St
Philadelphia, PA 19104-3511
Phone: (215) 387-0500
Fax: (215) 387-6414
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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

Record details

NPI number1841253176
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names Philadelphia 42nd Street Dialysis
NPI enumeratedApril 8, 2006
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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