DVA Healthcare Renal Care Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1891761565

DVA Healthcare Renal Care Inc provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Shelton, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in: CT
In the registry since: 2006

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

750 Bridgeport Ave
Shelton, CT 06484-4734
Phone: (203) 925-9520
Fax: (203) 925-9536

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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 0244 (CT)

Record details

NPI number	1891761565
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names	Shelton Dialysis; Shelton Dialysis
NPI enumerated	February 23, 2006
Last updated in NPPES	December 20, 2024
Certification date	December 20, 2024
Mailing address	5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

David M Bennett, MD Internal Medicine Physician · Trumbull, CT
Dr. Aaron Matthew Dommu, MD Internal Medicine Physician · Trumbull, CT
James Patrick Gavin, MD Nephrology Physician · Trumbull, CT