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

Maple Grove Dialysis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1255518247

Maple Grove Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maple Grove, Minnesota. Medicare rates this dialysis facility 3 out of 5. Registered with an NPI since 2008.

CMS rating
3 of 5
In the registry since
2008
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

3 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 242571)

Practice location Address checks out

15655 Grove Cir N
Maple Grove, MN 55369-4489
Phone: (763) 420-2804
Fax: (763) 420-7162
Show map & directions

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 number1255518247
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp Licensure & Certification · (615) 341-6641
Other names Maple Grove Dialysis Unit; Maple Grove Dialysis Unit
NPI enumeratedJanuary 22, 2008
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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