TOTAL RENAL CARE, INC (NPI# 1023424694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023424694 |
| Entity Type | Organization |
| Organization Name | TOTAL RENAL CARE, INC |
| Other Organization Name | DUNN AVENUE DIALYSIS |
| Practice Address |
1215 Dunn Ave Ste 8 Jacksonville FL 32218-4897 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 9047573540 |
| Practice Fax Number | 9047513499 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER, TREASURER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 014275100 | 05 |
| Other Name | Type Code |
|---|---|
| Dunn Avenue Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922649938 | Total Renal Care, Inc | Clinic/Center | 1601 Raiders Way, Oxnard, CA 93033-5620 | 2019-10-01 |
| 1063980969 | Total Renal Care, Inc | Clinic/Center | 8021 Philips Hwy Ste 15, Jacksonville, FL 32256-4452 | 2018-11-08 |
| 1487108668 | Total Renal Care, Inc | Clinic/Center | 1221 Briarville Rd, Madison, TN 37115-5145 | 2016-08-05 |
| 1275941718 | Total Renal Care, Inc | Clinic/Center | 4530 S. Hagadorn Rd., Suite A, East Lansing, MI 48823-5304 | 2014-07-29 |
| 1063475150 | Total Renal Care, Inc | Clinic/Center | 650 Circle Dr S, Rec Dept-a, Los Angeles, CA 90095-8347 | 2006-04-10 |
| 1508495763 | Total Renal Care, Inc | Clinic/Center | 57 Town Ct Ste 118, Palm Coast, FL 32164-2425 | 2020-04-08 |
| 1841648656 | Total Renal Care, Inc | Clinic/Center | 5200 Virginia Way, L&c Dept, Brentwood, TN 37027-7569 | 2016-06-02 |
| 1780054478 | Total Renal Care, Inc | Clinic/Center | 3973 Holland Rd, Virginia Beach, VA 23452-2804 | 2015-10-07 |
| 1144653692 | Total Renal Care, Inc | Clinic/Center | 9932 Ne Halsey St, Portland, OR 97220-4495 | 2013-08-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TOTAL RENAL CARE, INC. | 15271 Laguna Canyon Rd, Irvine, CA 92618-3146 |
| Oklahoma Business Registrations | TOTAL RENAL CARE, INC. | 21250 Hawthorne Blvd Ste 800, Torrence, CA 90503 |
| Oregon Corporations, Companies and Business Names | TOTAL RENAL CARE, INC. | Jld/secgovfin, 2000 16th Street, Denver, CO 80202 |
| Washington State Corporations | TOTAL RENAL CARE, INC. | Jld/secgovfin 2000 16th Street, Denver, CO 80202 |
| Street Address |
1215 DUNN AVE STE 8 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-4897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417922469 | Anthony Vaz | Specialist | 1215 Dunn Ave, Jacksonville, FL 32218-6330 | 2006-02-22 |
| 1255996625 | Renee Christine Aulisi | Registered Nurse | 1215 Dunn Ave, Jacksonville, FL 32218-6330 | 2019-05-01 |
| 1417435884 | Tameerah Mebane | Nurse Practitioner | 1215 Dunn Ave, Jacksonville, FL 32218-6330 | 2018-07-29 |
| 1629561451 | Otis Green IIi | Nurse Practitioner | 1215 Dunn Ave, Jacksonville, FL 32218-6330 | 2018-06-06 |
| 1174042212 | King David Mungin Sr. | Nurse Practitioner | 1215 Dunn Ave, Jacksonville, FL 32218-6330 | 2017-09-10 |
| 1811367618 | Heather Ledford | Nurse Practitioner | 1215 Dunn Ave, Suite 1, Jacksonville, FL 32218-6330 | 2015-10-06 |
| 1962820738 | Victoria Godwin Udongwo | Nurse Practitioner | 1215 Dunn Ave, Jacksonville, FL 32218-6330 | 2014-03-31 |
| 1801138391 | Denise Marie Ward | Nurse Practitioner | 1215 Dunn Ave, Suite1, Jacksonville, FL 32218-6330 | 2013-03-22 |
| 1093061723 | Gerardo Augusto Montanez Galvis | Nurse Practitioner | 1215 Dunn Ave, Suite 1, Jacksonville, FL 32218-6330 | 2012-07-31 |
| 1780964213 | Dearcy E. Vaughan | Pharmacist | 1215 Dunn Ave, Suite #2, Jacksonville, FL 32218-6330 | 2011-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274734 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 | 2020-04-16 |
| 1063980969 | Total Renal Care, Inc | Clinic/Center | 8021 Philips Hwy Ste 15, Jacksonville, FL 32256-4452 | 2018-11-08 |
| 1720538556 | Total Renal Care Inc | Clinic/Center | 5276 Blanding Blvd Ste 26, Jacksonville, FL 32210 | 2016-10-05 |
| 1588017784 | Lake Gray Dialysis Center LLC | Clinic/Center | 6196 Lake Gray Blvd, Suite 112, Jacksonville, FL 32244-7503 | 2016-07-22 |
| 1891143103 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 1211 St. Johns Bluff Rd North, Jacksonville, FL 32225 | 2016-05-26 |
| 1457725806 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 3107 Edgewood Ave West, Jacksonville, FL 32209-2209 | 2015-11-23 |
| 1912307596 | Total Renal Care of North Carolina LLC | Clinic/Center | 111 Yopp Road, Jacksonville, NC 28540-3509 | 2014-09-02 |
| 1497186084 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5607 Normandy Blvd, Jacksonville, FL 32205-6248 | 2013-12-06 |
| 1144653270 | Nxstage Jacksonville, LLC | Clinic/Center | 2777 University Blvd W, Suite 39, Jacksonville, FL 32217-2176 | 2013-08-13 |
| 1114284494 | Kidney Kare of Jacksonville Fl, Inc. | Clinic/Center | 4168 Southpoint Pkwy, Jacksonville, FL 32216-0966 | 2012-04-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
Please comment or provide details below to improve the information on TOTAL RENAL CARE, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.