TOTAL RENAL CARE OF NORTH CAROLINA LLC (NPI# 1093774473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093774473 |
| Entity Type | Organization |
| Organization Name | TOTAL RENAL CARE OF NORTH CAROLINA LLC |
| Other Organization Name | SOUTHEASTERN DIALYSIS CENTER WILMINGTON |
| Practice Address |
2215 Yaupon Dr Wilmington NC 28401-7334 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 9103430664 |
| Practice Fax Number | 9103430674 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2019-01-07 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| 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 |
|---|---|---|---|
| NC | 3412511 | 05 |
| Other Name | Type Code |
|---|---|
| Southeastern Dialysis Center Wilmington | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993960 | Total Renal Care of North Carolina LLC | Clinic/Center | 102 Coyote Ln, Robersonville, NC 27871-9514 | 2018-12-06 |
| 1639671357 | Total Renal Care of North Carolina LLC | Clinic/Center | 9562 Rocky River Rd, Charlotte, NC 28215 | 2018-03-08 |
| 1487156253 | Total Renal Care of North Carolina LLC | Clinic/Center | 1900 3rd Avenue Ln Se, Hickory, NC 28602-2959 | 2018-03-07 |
| 1578062626 | Total Renal Care of North Carolina LLC | Clinic/Center | 1287 N Salisbury Ave, Spencer, NC 28159-1834 | 2018-02-05 |
| 1164938395 | Total Renal Care of North Carolina LLC | Clinic/Center | 3607 Witherspoon Blvd, Durham, NC 27707-6853 | 2017-12-26 |
| 1205389517 | Total Renal Care of North Carolina LLC | Clinic/Center | 1220 Magnolia Village Way, Leland, NC 28451 | 2016-08-03 |
| 1003208240 | Total Renal Care of North Carolina LLC | Clinic/Center | 22807 Us Highway 17 N, Hampstead, NC 28443-3178 | 2015-02-25 |
| 1912307596 | Total Renal Care of North Carolina LLC | Clinic/Center | 111 Yopp Road, Jacksonville, NC 28540-3509 | 2014-09-02 |
| 1053744763 | Total Renal Care of North Carolina LLC | Clinic/Center | 11016 Red Springs Road, Red Springs, NC 28377-8060 | 2013-08-16 |
| 1134566342 | Total Renal Care of North Carolina LLC | Clinic/Center | 80 Westgate Plz, Franklin, NC 28734-1422 | 2013-05-29 |
| Street Address |
2215 YAUPON DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| 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 |
|---|---|---|---|---|
| 1295196491 | Total Renal Care of North Carolina, LLC | Clinic/Center | 3147 S 17th St, Wilmington, NC 28412-1030 | 2016-03-15 |
| 1225415888 | Fresenius Medical Care Wilmington Home, LLC | Clinic/Center | 164 Holiday Dr, Wilmington, OH 45177-8731 | 2015-05-04 |
| 1861787269 | Total Renal Care of North Carolina LLC | Clinic/Center | 3005 Enterprise Drive, Wilmington, NC 28405-2181 | 2011-06-14 |
| 1275714347 | Bio-medical Applications of Delaware, Inc. | Clinic/Center | 4000 N Washington St, Wilmington, DE 19802-2136 | 2007-11-16 |
| 1821284662 | Liberty Dialysis - Wilmington LLC | Clinic/Center | 913 Delaware Ave, Wilmington, DE 19806-4701 | 2007-09-14 |
| 1235234030 | Bio-medical Applications of Delaware, Inc. | Clinic/Center | 701 N Clayton St Ste 404, Wilmington, DE 19805-3165 | 2006-09-14 |
| 1679677546 | National Medical Care, Inc. | Clinic/Center | 303 A St, Wilmington, DE 19801-5324 | 2006-09-12 |
| 1982658043 | Independent Nephrology Services, Inc. | Clinic/Center | 1098 Medical Center Dr, Wilmington, NC 28401-7353 | 2006-05-20 |
| 1932165867 | Renal Life Link Inc | Clinic/Center | 1675 Alex Dr, Wilmington, OH 45177-2446 | 2006-04-20 |
| 1548553126 | Peritoneal Dialysis Care Clinic LLC | Clinic/Center | 630 W Main St, Suite 209, Wilmington, OH 45177-2170 | 2011-05-16 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on TOTAL RENAL CARE OF NORTH CAROLINA LLC.
| 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.