Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

DVA Healthcare Renal Care Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1952362519

DVA Healthcare Renal Care Inc provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Lake St Louis, Missouri. Registered with an NPI since 2006.

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

200 Brevco Plz Ste 201
Lake St Louis, MO 63367
Phone: (636) 561-4799
Fax: (636) 561-4533
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 number1952362519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names Lake St Louis Dialysis; Lake St Louis Dialysis
NPI enumeratedMarch 31, 2006
Last updated in NPPESSeptember 15, 2026
Certification dateSeptember 15, 2026
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569