Pure Life Renal of Sanford, LLC
NPI 1770163941 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Sanford, FL
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pure Life Renal of Sanford, LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Sanford, FL (NPI 1770163941).
Provider details
- NPI number
- 1770163941
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeff Fernandez, Cfo(954) 962-5733
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-12
- Last updated
- 2022-08-12
- Certified
- 2022-08-12
Frequently asked questions
- What is Pure Life Renal of Sanford, LLC's NPI number?
- Pure Life Renal of Sanford, LLC's National Provider Identifier (NPI) is 1770163941, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pure Life Renal of Sanford, LLC?
- Pure Life Renal of Sanford, LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pure Life Renal of Sanford, LLC located?
- Pure Life Renal of Sanford, LLC's practice location on file with NPPES is 2680 S Orlando Dr, Sanford, FL 32773-5339.
- What is Pure Life Renal of Sanford, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pure Life Renal of Sanford, LLC is (954) 962-5733.
- Does Pure Life Renal of Sanford, LLC accept Medicare?
- Pure Life Renal of Sanford, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pure Life Renal of Sanford, LLC?
- The authorized official listed on Pure Life Renal of Sanford, LLC's NPPES record is Jeff Fernandez, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pure Life Renal of Sanford, LLC's NPI active?
- Yes — Pure Life Renal of Sanford, LLC's NPI (1770163941) is active in the NPPES registry as of the last update on 2022-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.