TOTAL RENAL CARE INC (NPI# 1104337609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104337609 |
Entity Type | Organization |
Organization Name | TOTAL RENAL CARE INC |
Other Organization Name | CAIRO DIALYSIS |
Practice Address |
1182 5th St Se Cairo GA 39828-3141 |
Mailing Address |
5200 Virginia Way L & C Department Brentwood TN 37027-7569 |
Practice Telephone | 2293770852 |
Practice Fax Number | 2293778804 |
Mailing Telephone | 6153204268 |
Mailing Fax Number | 8772380567 |
Enumeration Date | 2017-10-24 |
Last Update Date | 2018-12-06 |
Authorized Official Name | JAMES 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 |
---|---|---|---|
GA | 000710322A | 05 |
Other Name | Type Code |
---|---|
Cairo Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720690506 | Total Renal Care Inc | Clinic/Center | 16290 Auto Ln, Sumner, WA 98390-2568 | 2020-08-21 |
1669080107 | Total Renal Care Inc | Clinic/Center | 4270 Rosewood Dr Ste E, Pleasanton, CA 94588-3065 | 2020-07-21 |
1437798386 | Total Renal Care Inc | Clinic/Center | 1800 State Route 34 Ste 302, Wall Township, NJ 07719-9146 | 2019-12-24 |
1750939963 | Total Renal Care Inc | Clinic/Center | 7 Cambridge Dr Ste 105, Trumbull, CT 06611-4763 | 2019-08-30 |
1992358170 | Total Renal Care Inc | Clinic/Center | 1700 Markley St, Ste 122, Norristown, PA 19401-2902 | 2019-07-17 |
1760034599 | Total Renal Care Inc | Clinic/Center | 9431 Corkscrew Palms Cir, Estero, FL 33928-6275 | 2019-07-11 |
1225691447 | Total Renal Care Inc | Clinic/Center | 1115 N Nova Rd, Daytona Beach, FL 32117-4108 | 2019-04-15 |
1659839181 | Total Renal Care Inc | Clinic/Center | 645 9th St Nw, Salem, OR 97304-3132 | 2019-03-04 |
1477019388 | Total Renal Care Inc | Clinic/Center | 4539 Chiquita Blvd S, Cape Coral, FL 33914 | 2019-02-15 |
1902377591 | Total Renal Care Inc | Clinic/Center | 11859 Wilshire Blvd Ste 100, Los Angeles, CA 90025-6653 | 2018-12-08 |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporations | Total Renal Care Inc. | 2626 Glenwood Avenue Suite 550, Raleigh, NC 27608 |
Virginia Business Entities | TOTAL RENAL CARE INC. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
Street Address |
1182 5TH ST SE |
City | CAIRO |
State | GA |
Zip Code | 39828-3141 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962433912 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 1182 5th St Se, Cairo, GA 39828-3141 | 2006-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033621776 | Morgan Charlotte Jackson | Nurse Practitioner | 700 14th Ave Nw, Cairo, GA 39828 | 2017-11-03 |
1861750457 | Megan Baggett | Pharmacist | 496 Hwy 84 E, Cairo, GA 39828 | 2012-05-02 |
1477852176 | Laurance W Neubauer | Pharmacist | 496 Highway 84 East, Cairo, GA 39828 | 2011-03-21 |
1952622466 | Magictouchsouthernlivingllc | Home Health | 2039 Hwy 111 North, 2039, Cairo, GA 39828 | 2010-06-18 |
1306965330 | Winston Burnum Brock Jr. | Pharmacist | 496 Hwy 84 East, Rite Aid, Cairo, GA 39828 | 2007-03-29 |
1578605911 | Linda Inez Walden | Family Medicine | 91 Mlk Jr Ave Sw, Cairo, GA 39828 | 2007-02-13 |
1932252004 | Cairo Family Medical Center, PC | Family Medicine | 91 Mlk Jr Ave S.w., Cairo, GA 39828 | 2007-01-19 |
1144399163 | Hometown Homecare LLC | Durable Medical Equipment & Medical Supplies | 135 2nd Avenue Se, Cairo, GA 39828 | 2006-11-06 |
1366546582 | Arlie Dewey Phelps Jr. | Chiropractor | 26 3rd Ave Nw, Cairo, GA 39828 | 2006-09-08 |
1346279676 | Lonnie R Harrison | Dentist | 80 Alton Hall Rd, Cairo, GA 39828 | 2006-06-30 |
Find all providers in zip 39828 |
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 |
---|---|---|---|---|
1962433912 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 1182 5th St Se, Cairo, GA 39828-3141 | 2006-07-06 |
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1083229280 | Bio- Medical Applications of Georgia, Inc. | Clinic/Center | 145 W Hendry St, Hinesville, GA 31313-3201 | 2020-09-14 |
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1598389132 | Concerto Georgia LLC | Clinic/Center | 655 Exchange Cir Ste 100, Bethlehem, GA 30620-1767 | 2020-05-29 |
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1215562293 | Dialysis Clinic Inc | Clinic/Center | 1219 S. Martin Luther King Blvd., Americuse, GA 31719 | 2020-03-10 |
1659915882 | Filmore Dialysis, LLC | Clinic/Center | 4555 Atlanta Hwy Ste M, Loganville, GA 30052-2646 | 2019-10-31 |
1013562818 | Menca Dialysis, LLC | Clinic/Center | 3030 Headland Dr Sw Ste C, Atlanta, GA 30311-5435 | 2019-08-08 |
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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.